Vaccination Status Register -                                       St Joseph's School  Te Kuiti
St Joseph's Te Kuiti School is required to hold the vaccination status of workers and volunteers at our school.
Information gathered on this form is private and will be kept secure.
If you have only one/no vaccination you may fill out this form again once you have had your second vaccination.
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Email *
Phone Number *
First Names *
Last Name *
Date of Birth *
MM
/
DD
/
YYYY
Position at school *
Required
Vaccination Status *
Evidence of Vaccination
Please email or bring into school evidence of your vaccination. principal@stjosephtk.school.nz
Confirmation *
I declare that the above information is true and correct.
Submit
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