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A child 2 months of age or older cannot be admitted to a childcare facility unless the parent presents certification from a licensed physician or authorized representative of any state or local Department of health that such child has received or will receive immunizations at the medically appropriate time. Record the dates of immunizations below or upload a copy of the immunization record or Form FSS-TANF-1, Certificate of Exemption.
If you do not complete the immunization record below, take and give a copy of your child's immunization record directly to our Latchkey staff on your child's first day of attending Latchkey.
Upload a copy of the immunization record or Form FSS-TANF-1, Certificate of Exemption.