Immunization Waiver

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 NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
Teen's Name*

First NameLast Name
BBYO Community*
Reason for requesting a medical waiver*
Medical Doctor Name*
example@example.com
Medical Doctor Email*
example@example.com
Medical Doctor Phone Number*

Area CodePhone 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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Immunization Waiver

BBYO Immunization Policy