COVID-19 Vaccination permission form

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PARENT/GUARDIAN CONSENT FORM. For details please click this link: COVID-19 VACCINATION

Email *

Name of Parent/Guardian

Name of Student *

Select the appropriate Year or Form: *

Year 6

Form 1

Form 2

Form 3

Form 4

Form 5

Form 6

Form 7

Please confirm that your child is 12 years of age or older. *

Confirmed. Yes, my child is 12 years old or older.

No, my child is not 12 years of age; therefore, will NOT be vaccinated.

Child's Date of Birth: *

YYYY

I give the Ministry of Health permission to vaccinate my child for Covid-19. This will be conducted at our school in the near future. Information can be found in this link: COVID-19 VACCINATION *

Yes

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