Enrolling Your Child

• Enrollment form
• two proofs of residence/address (lease agreement/mortgage statement and current gas, electric, or water bills)
• certified birth certificate
• physical examination report (Virginia Form MCH-213G dated within 12 months prior to starting kindergarten)
• current immunization records (verified on Virginia Form MCH-213G, public health department form or an immunization document from a qualified physician or licensed nurse practioner)
• two current emergency contact phone numbers

• DPT - A minimum of four doses, with at least one dose administered on or after the child's fourth birthday.
• Polio - A minimum of four doses, with at least one dose administered on or after the child's fourth birthday.
• Measles, Mumps, Rubella (MMR) requirements:
  • Measles (Rubeola) - Two doses of the Measles (Rubeola) vaccine are required for all students enrolled in kindergarten through grade 12. The first dose must have been at age 12 months or older; the second dose no sooner than one month after the first dose.
  • Rubella - A minimum of one dose of each administered at 12 months or older. This is usually given in combination with Measles (Rubeola) as the MMR vaccine.
  • Mumps - Two doses of the Mumps vaccine is required before entering kindergarten. This is usually administered in combination with the Measles (Rubeola) as the MMR vaccine.
• Hepatitis A - A minimum of two properly spaced doses. The first dose must be administered at age 12 months or older.
• Hepatitis B - A series of three vaccines is required for all students born on or after January 1, 1994. The third dose must not have been given before 24 weeks of age.
• Varicella (Chickenpox) - A minimum of two doses are required before entering kindergarten (effective March 3, 2010) unless a history of chickenpox disease or lab tests are provided by a licensed qualified physician or licensed nurse practitioner. The first chickenpox dose must have been administered after 12 months of age.
• Tdap (Booster) - Rising 6th graders and new enrolling 7th – 11th graders are required to have a booster dose of the Tdap vaccine (tetanus, diphtheria, and pertussis). If a tetanus containing vaccine has been administered in the five years prior to sixth grade entry, this booster vaccine is not required. Tetanus containing vaccines can be documented as DPT, Td, Dtap, or Tdap.

A student whose immunizations are incomplete may be admitted conditionally, if the student provides documentary proof at the time of enrollment of having received at least one dose of the required immunization(s) accompanied by a schedule from their healthcare provider for completion of the remaining required dosage(s). At the time of enrollment, ALL immunizations must be as current and as up-to-date as possible. Enrollment and attendance can be delayed if compliance with immunization requirements is not met.

Questions and the need for further clarification of immunization requirements may be directed to your school nurse or to the Student Health Services Office at 757.263.2025.