Due to circumstances that is believed to be good and also helpful it will be determined that the parents should sign a release of information for their child to receive immunizations. And so it is with great happiness that I present to my reader the following text.
I ____________________________________(the name of the parent) the Mother / Father of the Child who is: (check appropriate box)
[ ] four years of age or older and not born before 1988, hereby acknowledge my son / daughter (enter name) was administered an immunization against infection of Chicken Pox; and/or
[ ] a hippie and responsible for the sixties movement or born after that and is normal, hereby acknowledge my son / daughter (enter name) was administered an immunization against infection of Small Pox.
I have made an effort to be informed about my child’s immunities and with the advances in medicine, to a greater degree, I acknowledge that I am not expected to pay a great sum of money.
Sincerely
The Parent.
Interesting Links
Article about Chicken Pox
Slumdog Millionaire Wikipedia page
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