Immunization Waiver
BBYO only accepts reviews of waivers for medical conditions that would prevent a child from receiving a vaccine for medical reasons. The following form must be completed at a minimum of fourteen days in advance of the program start date. Please allow for 3-4 days to hear from a BBYO professional. Thank you for your patience.
BBYO Immunization Policy
All those who are in attendance at BBYO overnight experiences (children and adults) are required to have age-appropriate vaccines recommended by the American Academy of Pediatrics (AAP) and the Center for Disease Control (CDC): • Tdap (Diphtheria, Tetanus and Pertussis) • IPV (Poliovirus) • HIB (Haemophilus influenza type b bacteria) • PCV 13 (Pneumococcal) vaccine or PCV 23 • MMR (Measles, Mumps, Rubella) • Varicella vaccine (Chicken Pox), or serologic or historical evidence of immunity • Menactra (Meningococcal disease / Meningitis) - required for those age 11 and older
Parent Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Teen's Name
*
First Name
Last Name
BBYO Community
*
Argentina
Australia
Austria
Balkans: Albania
Balkans: Bosnia & Herzegovina
Balkans: Croatia
Balkans: Czech Republic
Balkans: Malta
Balkans: North Macedonia
Balkans: Serbia
Balkans: Slovakia
Belgium
Big Apple
Brazil
Bulgaria
Central Region West
Chile
China
Colombia
Connecticut Valley
Costa Rica
Cuba
Curaçao
Delta
Eastern: North Carolina
Eastern: Southeast
Eastern: Virginia
Estonia
Evergreen
France
Germany - ZWST
Gold Coast
Great Midwest
Greater Atlanta
Greater Jersey Hudson River: Central
Greater Jersey Hudson River: Northern
Greece
Hudson Valley
Hungary
Israel - Maccabi Tzair
Italy
JDC's Active Jewish Teens: Belarus
JDC's Active Jewish Teens: Georgia
JDC's Active Jewish Teens: Kazakhstan
JDC's Active Jewish Teens: Kyrgyzstan
JDC's Active Jewish Teens: Moldova
JDC's Active Jewish Teens: Russia
JDC's Active Jewish Teens: Ukraine
JDC's Active Jewish Teens: Uzbekistan
Kentucky Indiana Ohio
Keystone Mountain
Lake Ontario
Latvia
Liberty
Lithuania
Lonestar
Manhattan
Mexico
Miami
Michigan
Mid-America: Kansas City
Mid-America: North Star
Mid-America: Omaha
Mid-America: St. Louis
Montreal
Mountain
Nassau Suffolk
Netherlands
New England
New Zealand
Nordics: Denmark
Nordics: Finland
Nordics: Norway
Nordics: Sweden
North Florida
North Texas Oklahoma
Northern Region East: Baltimore
Northern Region East: DC
Northern Region East: Northern Virginia
Northwest Canada
Ohio Northern
Pacific Western
Peru
Poland
Red River
Rocky Mountain
Romania
South Africa
South Jersey
Spain
Switzerland - Hagoschrim
Turkey
United Kingdom & Ireland
Uruguay - Macabi Tzair
Vancouver
Venezuela
Wisconsin
Reason for requesting a medical waiver
*
Medical Doctor Name
*
example@example.com
Medical Doctor Email
*
example@example.com
Medical Doctor Phone Number
*
-
Area Code
Phone Number
Upload a signed letter from American Association of Pediatrics medically licensed doctor. (or from the licensing agency from your home country.) The letter must be on medical letterhead and be signed from the doctor.
*
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Please provide any additional documentation you think it would be helpful for our medical team to review.
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