Beth Shalom Religious School Vaccination Record Form
The Beth Shalom Religious School abides by North Carolina Law, which requires students to receive certain immunizations to enter school. The following parents must submit a copy of the child's Certificate of Immunization before entering our Religious School:
- Parents of children who are new to the school
- Parents of children in kindergarten, seventh grade, or twelfth grade, even if the children are not new to the school
Parents may use this form to upload a copy of their child's Certificate of Immunization. To read the specific requirements regarding what vaccinations are required, click here. If your child has a medical exemption, you must have a licensed physician complete and sign the N.C. Physician's Request for Medical Exemption Form DHHS 3995 prior to attending school. You may access the form here.