Epstein Secrets

1 791 811 72 61 71 61 71 71 6 EFTA01709880 Grades K - 8 Grade Enrolled K 1 2 Reading Spelling Writing a A Mathematics English 13 Social Studies -5 -5 Science S Art 4 Vocal Music Phys. Ed. Health S Library Instr. Music A.C.E. Computer CRS NAME GRD EARN ATT READING B 1,00 1.0

ic (Print or Stamp) Add ACES, FLORIDA 33401 days after next Immunization appointment) Physician or Authorized Slgnat ed a schedule to I t o Permanent Medical Exemption PART C For medically contraindicated immunizations, list each vaccine and state valid clinical reasoning or evidence for exemption: DOE Code 3 cer

03 Social Personal 7855010G ALP/FUNC ALTERNATIVE EDUCATION VE (Self-Contained) 7810010E Language Arts 7812010E Math 7820010E Science 7821010E Social Studies 7880010E Exploratory Vocational ESOL 1002010 M/J LA 2 THRU ESOL 1002150 M/J ESOL L/S/R/W 2 Parents will be required to sign all necessary paperw

• (Print or Stamp) Address: Expirati0n Date' _Olitlazufttstualimaadzatisin atipSathunD *LI Physician or Authorized Signature. Date. Permanent Medical Exemption PART C For medically contraindicated immunizations, list each vaccine and state valid clinical reasoning or evidence for exemption: DOE Code 3 I c

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Clinic Name: Expiration Date: (Print or sump) (15 days after next immunization appointment) Physician or Address: Authorized Signature: Date: Permanent Medical Exemption PART C For medically contraindicated immunizations, list each vaccine and state valid clinical reasoning or evidence for exemption: DOE Code 3 - -

Jo Young. .S tan! Principal Judy HeSSe40n. ASSslanl Pro10024 Grade: 5 ( ) Mathematics ( ) Reading C ) Leagues C ) Spellin ( ) Handwriting■ ( ) Social Studies ( ) Science/Health III) Behavior In order to improve, your child needs to: ( ) ascend school regularly ( ) bring the necessary supplies and ma

. Physician or Clinic Name: (Print or stamp) Address: xpirAtion ate osaasiltroexibmigilitkitiir Physician or Authorized Signature: Date: Permanent Medical Exemption PART C For medically contraindicated immunizations, list each vaccine and state valid clinical reasoning or evidence for exemption: DOE Code 3 I c

redits n2 Ma tics 2 credits M 3 credits English 0000 Laboratory Science 2 credits Laboratory Science 3 credits Math or Science I credit Social Studies 3 credits Math 0.000 Social Studies 3 credits World History/Wodd Geography, 1 credit Laboratory Science 0.000 World History/World Geography,

rvice Address: Riviera Bea L 33404 Phone: Expiration Date: (IS days after next Physician or Authorized Signatu A. 41/21-4goo/ w 7 3.0) •, Permanent Medical Exemption PART C For medically contraindicated immunizations, list each vaccine and state valid clinical reasoning or evidence for exemption: DOE Code 3 / c

) O n () Reading Q-- )Q± if' A /F. iii English 4 J3 ,514 R-- ---- Mt- Spelling azz ip h ,.D4- Handwriting . 5 S Mathematics ge 6 A 'Social Studies A a- Aci- ,81" Ertl C Science / 5 5 S *Sri— ,r4 Health 4, a a- a- /7- Music 5. 5 sst- ,..5.4 5 II- ...0-: Art 5 SI- ,54- S )e--- .5/— P

Clinic Name: Expiration Date: (Print or sump) (15 days after next immunization appointment) Physician or Address: Authorized Signature: Date: Permanent Medical Exemption PART C For medically contraindicated immunizations, list each vaccine and state valid clinical reasoning or evidence for exemption: DOE Code 3 - -