Westside Summer Camp Health Form 2023

Required

Effective January 21, 2022, Westside School is requiring that all students/campers ages 5+ be fully vaccinated against COVID-19, and all teachers/staff be vaccinated and boosted.
 
Please upload your child's COVID-19 vaccination card and certificate of immunization record (CIS) using the link below.
 
Additionally, please list relevant medication, allergy, and medical information below.  
Parent/Guardian Namerequired
First Name
Last Name
Parent/Guardian Email Addressrequired
Student Namerequired
First Name
Last Name
Medications
Allergies
Additional Relevant Heath Information
Certificate of Immunization Record (CIS)required
Attach up to 3 files with a maximum size of 10MB
No file chosen
COVID-19 Immunization Recordrequired
Attach up to 3 files with a maximum size of 10MB
No file chosen