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Series 5000
Students
ADMINISTRATIVE REGULATIONS REGARDING IMMUNIZATIONS
I. Immunization Requirements
In accordance with state law and accompanying regulations, the _____________
Board of EducationPublic Schools (the “BoardDistrict”) requires each child to be
protected by adequate immunization against diphtheria, pertussis, tetanus, poliomyelitis,
measles, mumps, rubella, hemophilushaemophilus influenzae type B, hepatitis A,
hepatitis B, varicella, pneumococcal diseases, meningococcal disease and any other
vaccine required by the schedule for active immunization as determined by the
Commissioner of Public Health pursuant to Conn. Gen. Stat. § 19a-7f, prior to
enrollingbefore being permitted to enroll in any program or school under its jurisdiction.
Among other requirements, before being permitted to enter seventh grade, the
BoardDistrict requires each child to be vaccinated against meningococcal disease. The
BoardDistrict further requires each child to receive a second immunization against
measles and tetanus, diphtheria and pertussis (Tdap) before being permitted to enter
seventh grade.
Further, each child must have received two doses of immunization against
varicella before being permitted to enter kindergarten and seventh grade, and each child
must have received two doses of immunization against rubella and mumps before being
permitted to enter grades kindergarten through twelve.
[If the BoardDistrict operates a preschool program, the following language
should be added:
By January 1 of each year, children aged 24-59 months enrolled in the
BoardDistrict’s preschool program must show proof of receipt of at least one dose of
influenza vaccine between August 1 and December 31 of the preceding year. All
children aged 24-59 months who have not received vaccination against influenza
previously must show proof of receipt of two doses of the vaccine the first influenza
season that they are vaccinated. Children seeking to enroll in the BoardDistrict’s
preschool program between January 1 and March 31 are required to receive the
influenza vaccine prior to being permitted to enter the program. Children who enroll
in the preschool program after March 31 of any given year are not required to meet
the influenza vaccine requirement until the following January.]
Exemption from the pertinentapplicable requirements of these administrative
regulations shall be granted to any child who, prior to enrollmentbefore being permitted
to enroll:
275516v1617 © 20162021 Shipman & Goodwin LLP. All rights reserved.
(1) presents a certificate from a physician, physician assistant, advanced practice
registered nurse or local health agency stating that initial immunizations have
been given to such child and additional immunizations are in process
(A) under guidelines and schedules specified by the Commissioner of Public
Health; or
(2) presents a certificate from a physician, physician assistant, or advance practice
registered nurse stating that in the opinion of a such physician, such
immunization is medically contraindicated because of the physical condition of
such child; or
(3) presents(B) in the case of a child enrolled in a preschool program or
other prekindergarten program who, prior to April 28, 2021, was exempt
from the applicable immunization requirements upon presentation of a
statement from the parents or guardian of such child that such
immunizationimmunizations would be contrary to the religious beliefs of
such child or the parents or guardian of such child, which statementas
such additional immunizations are recommended, in a written declaration,
in a form prescribed by the Commissioner of Public Health, for such
child by a physician, a physician assistant or an advanced practice
registered nurse. Such statement of religious beliefs shall be
acknowledged by (A) a judge of a court of record or a family
support magistrate, (B) a clerk or deputy clerk of a court having a
seal, (C) a town clerk, (D) a notary public, (E) a
justice of the peace, (F) an attorney admitted to the bar of the State
of Connecticutthis state, or (G) a school nurse; or
(1) presents a certificate, in a form prescribed by the Commissioner of Public Health
pursuant to Section 7 of Public Act No. 21-6, from a physician, physician
assistant, or advanced practice registered nurse stating that in the opinion of a
such physician, physician assistant, or advanced practice registered nurse such
immunization is medically contraindicated because of the physical condition of
such child; or
(2) (4) in the case of measles, mumps or rubella, presents a certificate from a
physician, physician assistant or advanced practice registered nurse or from the
Director of Health in such child’s present or previous town of residence, stating
that the child has had a confirmed case of such disease; or
(3) (5) in the case of hemophilushaemophilus influenzae type B, has passed
his/hersuch child’s fifth birthday; or
(65) in the case of pertussis, has passed his/hersuch child’s sixth birthday.
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275516v1617 © 20162021 Shipman & Goodwin LLP. All rights reserved.
Before being permitted to enter the seventh grade, the parents or guardian of any
child who is exempt on religious grounds from the immunization requirements, pursuant
to subsection (3) above, shall present to the Board a statement that such immunization
requirements are contrary to the religious beliefs of such child or the parents or guardian
of such child, which statement shall be acknowledged in the same manner as required by
subsection (3) above.
II. Exemptions Based on Religious Beliefs
A. Children Enrolled in Kindergarten Through Twelfth Grade On or Before
April 28, 2021
The immunization requirements set forth in Section I of these
administrative regulations shall not apply to any child who is enrolled in
kindergarten through twelfth grade on or before April 28, 2021 if:
1. such child presented a statement, prior to April 28, 2021, from the
parents or guardians of such child that such immunization is contrary
to the religious beliefs of such child or the parents or guardians of
such child, and
2. such statement was acknowledged by a judge of a court of record or
a family support magistrate, a clerk or deputy clerk of a court having
a seal, a town clerk, a notary public, a justice of the peace, an
attorney admitted to the bar of the State of Connecticut, or a school
nurse.
B. Students Who Transfer from Another Public or Private School in
Connecticut
The immunization requirements set forth in Section I of this policy shall
not apply to any student who:
1. transfers to the District from another public or private school in
Connecticut, and
2. was enrolled in kindergarten through twelfth grade in the other
public or private school on or before April 28, 2021, and
3. presented a statement, prior to April 28, 2021, from the parents or
guardians of such child that such immunization is contrary to the
religious beliefs of such child or the parents or guardians of such
child, and such statement was acknowledged by a judge of a court
of record or a family support magistrate, a clerk or deputy clerk of
a court having a seal, a town clerk, a notary public, a justice of
the peace, an attorney admitted to the bar of the State of
Connecticut, or a school nurse.
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275516v1617 © 20162021 Shipman & Goodwin LLP. All rights reserved.
C. Children Enrolled in Preschool or Prekindergarten Prior to April 28,
2021
Any child who is enrolled in a preschool program or other
prekindergarten program prior to April 28, 2021 who:
1. presented a statement, prior to April 28, 2021, from the parents or
guardians of such child that such immunization is contrary to the
religious beliefs of such child or the parents or guardians of such
child, and
2. such statement was acknowledged by a judge of a court of record
or a family support magistrate, a clerk or deputy clerk of a court
having a seal, a town clerk, a notary public, a justice of the peace,
an attorney admitted to the bar of the State of Connecticut, or a
school nurse, but
3. did not present a written declaration from a physician, a physician
assistant or an advanced practice registered nurse stating that
additional immunizations are in process as recommended by such
physician, physician assistant or advanced practice registered
nurse, rather than as recommended under guidelines and schedules
specified by the Commissioner of Public Health
shall comply with the immunization requirements provided for in
Section I of these administrative regulations on or before September 1,
2022, or not later than fourteen (14) days after transferring to a program
operated by a school under the jurisdiction of the District, whichever is
later.
In accordance with state law, the Board_________ Board of Education (“Board”)
and the District shall not be liable for civil damages resulting from an adverse reaction
to a nondefective vaccine required to be administered by state law.
If the parents or guardians of any child are unable to pay for any required
immunization, the expense of such immunization shall, upon the recommendation of the
Board, be paid by the town of the child’s residence.
The BoardDistrict designates [insert name of responsible staff member] as the
representative for receipt of reports from health care providers concerning student
immunizations.
The current required immunizations for elementary (including preschool),
middle and high school students can be found at:
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https://portal.ct.gov/-/media/SDE/School-Nursing/Forms/Immunization_Requirements.
pdf.
In implementing these regulations, the District shall consider state guidance and
supporting documents and comply with applicable law.
Legal Reference: Connecticut General Statutes
§ 10-204a Required immunizations
§ 10-204c Immunity from liability
Public Act No. 21-6, “An Act Concerning Immunizations”
Regulations of Connecticut State Agencies
§ 10-204a-2a Adequate Immunization
Letter to Superintendents of Schools et al. from Connecticut State Departments of Public
Health and Education, Reinstatement of Prekindergarten and Kindergarten School
Immunization Entry Requirement for Haemophilus Influenza Type B (Hib) Vaccine, June
25, 2010.
Letter to Superintendents of Schools et al. from Connecticut State Departments of
Public Health and Education, Changes in the Immunization Requirements for School
Entry, March 15, 2011.
State Department of Education, Guidance Regarding Public Act 21-6, “An Act
Concerning Immunizations,” May 25, 2021.
ADOPTED
REVISED:
6/25/2021
7/31/18
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275516v1617 © 20162021 Shipman & Goodwin LLP. All rights reserved.
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