Attention Parents:

 

 

The State of Texas mandates the following:

 

All children entering Texas elementary and secondary schools or institutions of higher education must have proper immunizations.

 

The immunizations checked below must be obtained for your child to continue to attend Waltrip High School:

 

 

#1

#2

#3

BOOSTER

         

Diphtheria and

Tetanus

 X

__________

X

_________

_________

X

_________

 

MMR

 X

__________

X

_________

 

_________

 

_________

 

Polio

X

__________

X

_________

 X

_________

 

_________

 

Hepatitis B

__________

_________

 X

_________

 

_________

 

Date of Chicken Pox illness or Varicella Vaccination: _______X__________