Student Flu Clinic
Grades 5 - 12

October 4 - 16, 2009
(dates will be confirmed upon participation)

Flu Immunization choose: Injection or Flumist

Cost of Flu Immunization
Injection ($25.00) - Flumist ($35.00)

Appropriate Consent Form and Payment Due

Friday, September 25th

Send Consent Form (Injection or Flumist) and Payment to your School Nurse

Make checks payable to 'Maxim Health Services'