Conditional Attendance Form English - Health and Welfare - healthandwelfare idaho 2026

1. Click ‘Get Form’ to open it in the editor.
2. In Section 1, enter the child's name and date of birth. Ensure accuracy as this information is crucial for identification.
3. Circle the overdue vaccines in the 'Vaccines Needed' section. This helps track which immunizations are required for compliance.
4. Complete the 'Vaccine Catch-Up Schedule' by entering the last dose received and due dates for each overdue vaccine. Check any missing vaccines to ensure all requirements are noted.
5. The childcare facility operator must sign and print their name at the bottom of Section 1, certifying eligibility for conditional attendance.
6. In Section 2, the parent/guardian should print their name, sign, and date the form, acknowledging their understanding of conditional attendance requirements.

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