2025 Seasonal Flu Vaccine, Friday September 19th
Please complete this form if you would like your child to receive the seasonal flu vaccination on Friday September 19th, 2025. The vaccine costs  550 Baht /dose.  Please complete one form per child. 
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Name of child *
How old is your child? *
Year Group *
How many doses do you need for your child? Two doses are required for children under 9 years who have not previously received a flu vaccine.  *
Please advise if you or your child has any of the following: 
I agree that Hua Hin International School may share my  personal data to the Be Well Clinic.  *
Required
Name of Parents *
Parent's phone number  *
Parent's email address  *
Signed Date *
MM
/
DD
/
YYYY
After you submit the form, please transfer payment to Hua Hin International School 
Bangkok Bank
Account Number 490-7-01057-5 (Saving Account)
by September 12th 2025
Please  send the  transfer slip to the school Line official: https://lin.ee/bHZHBIG  or email hhis.admin@huahinschool.com
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