Westside Summer Camp Health Form

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 (image or scan) and certificate of immunization record (CIS).
 
Additionally, please list relevant medication, allergy, and medical information below.  
Parent/Guardian Namerequired
First Name
Last Name
Student Namerequired
First Name
Last Name (optional)
Attach up to 3 files at a time. File size may not exceed 10MB
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Attach up to 3 files at a time. File size may not exceed 10MB
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