May 14th Immunization Clinic

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Please complete the form to sign up for the Immunization Clinic at our May 14th Touch a Truck Event. If you have more than 1 child that needs immunizations, please complete 1 form for each child. For questions, email aschave@flatrockschools.org or call at 734-535-6581.

Please complete the following 2 forms and bring them on May 14th. If you need a printed copy, you can pick them up in the offices at the FRCS Early Childhood Center, Bobcean Elementary School, or the Flat Rock Community Schools Board Office.

Form 1: Vaccine Permission Slip

Form 2: Immunization Demographic Sheet

Parent/Guardian Name *

Email Address *

Phone Number *

Student First Name *

Student Last Name *

Student Date of Birth *

YYYY

I have already completed the enrollment process for the 2024-2025 school year. *

Yes

I don't know. Please contact me.

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