This document is from Somoge Elementary School in the Catarman II District. It gives permission for a child named [blank space] to be vaccinated for diphtheria, tetanus, and pertussis (whooping cough). The child's parent or guardian signs on the line to grant this permission.
This document is from Somoge Elementary School in the Catarman II District. It gives permission for a child named [blank space] to be vaccinated for diphtheria, tetanus, and pertussis (whooping cough). The child's parent or guardian signs on the line to grant this permission.
This document is from Somoge Elementary School in the Catarman II District. It gives permission for a child named [blank space] to be vaccinated for diphtheria, tetanus, and pertussis (whooping cough). The child's parent or guardian signs on the line to grant this permission.