High Country Home Educators
2017-18 Step 4 Registration-Immunization Record
This form is for families registered in the Academy full time. We no longer keep immunizations after the end of the year. A new copy will need to be uploaded each year.
It is the parent's responsibility to make sure we have the most up to date Immunization Record or Waiver.
The Waiver can be found on the Academy page under Step 4 Registration-Immunization Record.
Family's Last Name
Home/Primary Phone Number
Student's Last Name
Student's First Name
Email Checked Most Often
Attach Immunization Record or signed Waiver here
Do Not Fill This Out