Rockbridge County Public Schools

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2022 Adolescent COVID-19 Vaccination Consent Form

Rockbridge County Public Schools are committed to providing an environment that emphasizes the dignity and worth of all members of their community. Rockbridge County Public Schools does not discriminate on the basis of race, color, religion, national origin, sex, pregnancy, childbirth, or related medical conditions, age, marital status, genetic information, sexual orientation, gender identity, disability, or status as a veteran. The following persons have been designated to handle inquiries regarding non-discrimination policies: Title IX coordinator Tim Martino, Assistant Superintendent, tim_martino@rockbridge.k12.va.us & Compliance Officer/Section 504 Coordinator Dr. Angie Wilder, Supervisor of Secondary Special Education, angie_wilder@rockbridge.k12.va.us.

Rockbridge County Public Schools

Learning First

2022 Adolescent COVID-19 Vaccination Consent Form

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Rockbridge County Public Schools

Learning First

2022 Adolescent COVID-19 Vaccination Consent Form

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Address

Phone

Fax