H-2-2 DEPARTMENT OF DEFENSE EDUCATION ACTIVITY Request Immunization ...
RETURN COMPLETED FORM TO THE SCHOOL IN WHICH THE STUDENT IS ENROLLING. PRIVACY ACT STATEMENT AUTHORITY: 10 U.S.C. section, 2164 (Department of Defense Domestic Dependent Elementary and Secondary Schools) and 20 U.S.C. sections 921-932 (Defense ... Sponsor/Parent/Guardian of the above named person or the person himself/herself is an adherent ... ................
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