Immunization Waiver
BBYO only accepts reviews of waivers for medical conditions that would prevent a child from receiving a vaccine for medical reasons. The following form must be completed at a minimum of fourteen days in advance of the program cancellation date. Please allow for 3-4 days to hear from a BBYO professional. Thank you for your patience.
BBYO Immunization Policy
All those who are in attendance at BBYO overnight experiences (children and adults) are required to have age-appropriate vaccines recommended by the American Academy of Pediatrics (AAP) and the Center for Disease Control (CDC): • Tdap (Diphtheria, Tetanus and Pertussis) • IPV (Poliovirus) • HIB (Haemophilus influenza type b bacteria) • PCV 13 (Pneumococcal) vaccine or PCV 23 • MMR (Measles, Mumps, Rubella) • Varicella vaccine (Chicken Pox), or serologic or historical evidence of immunity • Menactra (Meningococcal disease / Meningitis) - required for those age 11 and older
Parent Name
*
First Name
Last Name
Email
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example@example.com
Phone Number
*
-
Area Code
Phone Number
Teen's Name
*
First Name
Last Name
BBYO Community
*
Argentina
Asia Pacific
Australia
Austria
Balkans: Albania
Balkans: Bosnia and Herzegovina
Balkans: Croatia
Balkans: Czech Republic
Balkans: Malta
Balkans: Montenegro
Balkans: North Macedonia
Balkans: Serbia
Baltics: Estonia
Baltics: Latvia
Baltics: Lithuania
Big Apple
Brazil
Bulgaria
Central Region West
Chile
Colombia
Connecticut Valley
Costa Rica
Cuba
Curaçao
Delta
Denmark
Eastern: North Carolina
Eastern: Southeast
Eastern: Virginia
El Salvador
Evergreen
Finland
France
Germany
Gold Coast
Great Midwest
Greater Atlanta
Greater Jersey Hudson River: Central
Greater Jersey Hudson River: Northern
Hawaii
Hudson Valley
Hungary
Iceland
Ireland
Israel: Maccabi Tzair
Italy
JDC's Active Jewish Teens: Belarus
JDC's Active Jewish Teens: Georgia
JDC's Active Jewish Teens: Kazakhstan
JDC's Active Jewish Teens: Kyrgyzstan
JDC's Active Jewish Teens: Moldova
JDC's Active Jewish Teens: Russia
JDC's Active Jewish Teens: Ukraine
Kentucky Indiana Ohio
Kenya
Keystone Mountain
Lake Ontario
Liberty
Lonestar
Manhattan
Mexico
Miami
Michigan
Mid-America: Kansas City
Mid-America: North Star
Mid-America: Omaha
Mid-America: St. Louis
Montreal
Morocco
Mountain
Nassau Suffolk
Netherlands
New England
New Zealand
North Florida
North Texas Oklahoma
Northern Region East: Baltimore
Northern Region East: DC
Northern Region East: Northern Virginia
Northwest Canada
Norway
Ohio Northern
Pacific Western
Peru
Poland
Puerto Rico
Red River
Rocky Mountain
Romania
Slovakia
South Africa
South Jersey
Spain
Sweden
Switzerland
Turkey
Uganda
United Kingdom
Uruguay
Uzbekistan
Vancouver
Venezuela
Wisconsin
Reason for requesting a medical waiver
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Medical Doctor Name
*
Full name
Medical Doctor Email Address
*
example@example.com
Medical Doctor Phone Number
*
-
Area Code
Phone Number
Upload a signed letter from an American Association of Pediatrics medically licensed doctor (or from the licensing agency from your home country). The letter must be on medical letterhead and be signed by the doctor.
*
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Please provide any additional documentation you think it would be helpful for our medical team to review.
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