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 _________ |
X _________ |
| MMR |
X __________ |
X _________ |
_________ |
_________ |
|
Polio |
X __________ |
X _________ |
X _________ |
_________ |
|
Hepatitis B |
X __________ |
X _________ |
X _________ |
_________ |
Date of Chicken Pox illness or Varicella Vaccination: _______X__________