Hanover Area Covid Vaccine Declaration Form
Parents/Guardians must complete this form 1 time for each of their children age 12 and older. Disclosing your child's vaccination status and providing a copy of their Covid immunization card is OPTIONAL. However, IF YOU CHOOSE NOT TO SHARE, please know that your child will be handled in the same manner as an unvaccinated student.
Email *
Student First Name *
Student Last Name *
Covid Vaccination Status *
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