Editing previous response:

Please fix the highlighted areas below before submitting.

Tdap Vaccine Documentation Upload

Greetings, Collierville Virtual Academy -

The Tdap is a booster vaccine that continues to protect your child against tetanus, diphtheria, and pertussis diseases they were immunized against as a young child. In Tennessee, a Tdap vaccine is a requirement for students entering 7th grade. If your child is a rising 7th grader for the upcoming school year, please upload your child's updated Tennessee immunization form, reflecting the Tdap booster below.

Date of Birth MM/DD/YYY*

Answer Required

Student's Contact Information

Student's Legal First Name*

Answer Required

Middle Name

Answer Required

Student's Legal Last Name*

Answer Required

Example Form: Tennessee Immunization Documentation

Tennessee Immunization Form *

Answer Required

Choose a file or drag it here.