Proof of NYS required immunizations must be presented at the time of registration.
Failure to file either proof of immunizations or medical/religious exemptions may result in the exclusion of the pupil until such statements are submitted.
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Before submitting this form, please check your answers. Any questions with a red * are required. After submitting the form if you get a validation error, please look for and complete any questions/fields that turn red.
Jordan-Elbridge Central School District
Health Registration Form