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Roosevelt Elementary

Rough Riders

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Home of the Rough Riders!

Medical Info & Forms

  • Medical Forms & Info
  • Roosevelt Elementary
  • 7th-12th Grade TDAP Immunization is Required.
     
    Find additional information at ShotsForSchool.org
     
    Pertussis Information:  English  -  Español
     
    Please be sure to review the District's Flu Information and the CDC's Enterovirus D68 Information.
     
  • ENGLISH - Student Mask Exemption Medical Certification Form

    ENGLISH - Student Mask Exemption Medical Certification Form

    ENGLISH Student Mask Exemption Medical Certification Form.pdf 943.45 KB (Last Modified on August 13, 2021)
    Comments (-1)
  • SPANISH - Student Mask Exemption Medical Certification Form

    SPANISH - Student Mask Exemption Medical Certification Form

    SPANISH Student Mask Exemption Medical Certification Form.pdf 753.31 KB (Last Modified on August 13, 2021)
    Comments (-1)
  • MEDICATION AT SCHOOL

    MEDICATION AT SCHOOL

    Medication at School Form - DISTRICT PDF.pdf 624.23 KB (Last Modified on February 18, 2020)
    Comments (-1)

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Address

Roosevelt Elementary

1185 10th Ave

Kingsburg, CA 93631

Phone

559-897-5193

Fax

559-897-6865

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