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Catholic of Pointe Coupee REGISTRATION PACKET Attached are new student registration documents. To register, complete the following documents and turn them in to the Principal’s office. 1. Registration Form 2. Attach the registration fee to the registration form 3. Yearbook order form (2018-2019 yearbook) 4. Church Participation Form 5. Signed Covenant (PK3-6 th only) 6. Parent Service Hour Form (due 3/31/19 to the Business Office) 7. Request for Records Form 8. School Transfer Form – If transferring from another school within the Diocese of Baton Rouge. Please attach the following to your registration packet: 1. Copy of birth certificate 2. Copy of Social Security card 3. Immunization Records 4. Copy of most recent report card 5. Copy of most recent standardized tests 6. Copy of most recent discipline report One Family, One Vision in Christ The mission of Catholic of Pointe Coupee is to provide a religious, academic and disciplined Catholic education whereby students develop their talents in service to school, church, and society.

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Page 1: REGISTRATION PACKET - 1.cdn.edl.io€¦ · Standardized test scores Pastor approval letter ... Comments: Pastors: Please ... 225-638-9953 (Elementary fax) or 225-638-6471

Catholic of Pointe Coupee

REGISTRATION PACKET

Attached are new student registration documents. To register, complete the following documents and turn them in to the Principal’s office.

1. Registration Form 2. Attach the registration fee to the registration form

3. Yearbook order form (2018-2019 yearbook)4. Church Participation Form

5. Signed Covenant (PK3-6th only)

6. Parent Service Hour Form (due 3/31/19 to the Business Office)

7. Request for Records Form

8. School Transfer Form – If transferring from another school within the Diocese of Baton Rouge.

Please attach the following to your registration packet:

1. Copy of birth certificate

2. Copy of Social Security card

3. Immunization Records

4. Copy of most recent report card

5. Copy of most recent standardized tests

6. Copy of most recent discipline report

One Family, One Vision in Christ The mission of Catholic of Pointe Coupee is to provide a religious, academic and disciplined Catholic education whereby

students develop their talents in service to school, church, and society.

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CATHOLIC OF POINTE COUPEE 405 LOUISIANA ST.

NEW ROADS, LA 70760 (225) 638-9313

February 5, 2017

We are excited to announce the registration dates for the 2018-2019 school term:

2018/2019 Registration: February 5th – February 28th

TUITION AND FEES POLICY

In keeping with many other schools in the Diocese, Catholic School of Pointe Coupee requires prepaid tuition. This practice allows all collected money to draw interest, which in turn benefits the school financially. Tuition and fees must be paid in full by Friday, June 1, 2018.

No student will be allowed to begin school in August 2018 until tuition and fees have been paid in full ortuition loans are current with no past due balance.

School Tuition Loans will be available through Gulf Coast Bank & Trust Company. We have secured an interest rate of 8.00% for the 2018-2019 school year. The principal and interest are payable in tenmonthly payments beginning July 1, 2018. Parents interested in taking out loans to pay for tuition andfees (excluding registration fees) can access information on the school’s website (catholicpc.com) in March on how to complete an application online. Loans are not available to those who have had a loan default and charge-back in the past.

To register for 2018/2019:

1. Enclosed is a registration form for all new students. Please fill out a separate registration form for each new

student. Return the enclosed Registration Form(s) with a $200 registration fee, per student, to the Elementaryor High School office before 3:00 pm on Wednesday, February 28

th

. New student registration forms can also

be found on the school website – www.catholicpc.com.

2. If you have a current/returning student, registration forms will be emailed directly to the parent/guardian’semail address on file with the school. You will have the option to pay your registration fee online with ane-check or credit card no later than 3:00 pm on Wednesday, February 28th. You may also elect to bring your$200 registration fee, per student, to the Business Office no later than 3:00 pm on Wednesday, February 28th.

3. A student will not be considered for registration until the applicable 2018-2019 Registration Form andregistration fee have been received by the Business Office, and all past due financial balances,including aftercare, have been paid.

4. The School Board sets limits and caps for classroom sizes. Because of these caps, new applications are not aguarantee for admission. Notification of acceptances will be made by the Elementary Office and the High

School Office.

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Tuition and Fee Schedule – 2018/2019

Payable by February 28, 2018:

Registration: $200 per student (fourth student free, non-refundable)

Payable by June 1, 2018:

Tuition: Elementary $4,540 per student (3 yr. old – 6th grade)

$3,500 per student (3 yr. old – 3 days only)

High School $5,525 per student (7th – 12th grade)

(Family Max – fourth student receives free tuition – applies to the youngest student enrolled)

Supply Fee: $75 per student (3 yr. old – 6th grade)

Snack Fee: $125 per student (3 yr. old, Pre-K, Kindergarten)

Instructional Materials: $150 per student

Building/Maintenance: $200 per family

Graduation Fee: $300 per student (Seniors only)

Security Fee: $20 per student

Technology Fee: $100 per student (3 yr. old – 8th grade)

$150 per student (9th – 12th grade)

Activity Fee: $150 per student (7th – 12th grade)

Yearbook Fee: $60 (OPTIONAL – must indicate during registration)

Late Fees/Penalties

*New late fee policies have been voted on by the School Board and will be implemented for 2018/2019*

Registration Fees will increase to $300 per student for those registering on or after 3/1/18.

Registration Fees will increase to $400 per returning student for those registering on or after 4/1/18.

Returning students who are not registered by 4/30/18 will be dropped from the system on 5/1/18.

A late fee of $500/student will be charged to those paying tuition/taking out a loan on or after 6/2/18.

If your student’s tuition is not paid in full or you have not taken out a loan by 7/1/18, he/she will

be dropped from the rolls and be required to re-register with all applicable late fees.

**Please do not pay tuition at this time. Once registration is complete you

will receive an itemized invoice in the mail.**

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Admission Guidelines – Criteria for Acceptance

Students will be accepted into Catholic of Pointe Coupee according to the following priorities:

1. All students presently in attendance and in good standing (i.e. financial behavioral,

academic).

2. New students from families now in attendance; this is for first-time attending

students only.

3. New students from CISPC alumni families (legal parent or guardian). Legal parent

is the person who claims the child as a dependent on income tax forms. Family is

defined as those persons appearing on income tax form as dependents.

4. New Catholic students from the area, with letter from local pastor, and Catholic

students who previously attended CISPC and have paid a readmission fee.

5. New non-Catholic students.

Note: In determining acceptance, the school will review the academic, discipline, and

attendance records of students transferring from another school.

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2018-2019 YEARBOOKS!!!

Please see your options below and send this form back with your 2018-2019 Registration Form.

□ I do not want the yearbook fee added to my tuition invoice. I understand that if I change my mind later and decide that I would like a yearbook, there may not be one available.

□ Please add the yearbook fee (1 yearbook) to my 2018-2019 tuition invoice.

□ I would like more than one yearbook. Please add _____ yearbook fees to my 2018-2019 tuition invoice.

***PLEASE NOTE THAT IF THIS IS NOT RETURNED WITH YOUR REGISTRATION FORM, YOU WILL NOT BE BILLED FOR A YEARBOOK***

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New Family Current Family

Catholic Interparochial School of Pointe Coupee

405 Louisiana Street New Roads, LA 70760 (225)638-9313

Date:

Entering Grade:

HH3 Program 3day/week

MAILING ADDRESS:

Street

City

State Zip

Male Female

Birth Date

Birth Place

U.S. Citizen Yes No Home Phone______________________________

Student’s cell phone # ______________________

Church Presently Attending __________________

Student’s Social Security #

Religion

Baptism Date____________Communion Date Confirmation Date ____________

PHYSICAL ADDRESS: (if different from mailing)

Street City State Zip

FAMILY INFORMATION

Father/Guardian

Name _

Deceased: Yes No

Address

City

State Zip

Occupation

Employer

Home Phone #

Work Phone #

Cell Phone

E-mail address

CISPC Alumni: _ Yes No Year

Father’s Religion

Mother/Guardian (include Maiden name)

Name

Deceased: Yes No

Address

City

State

Occupation

Employer

Home Phone #

Work Phone #

Cell Phone

E-mail address

CISPC Alumni: Yes No Year

Mother’s Religion

Parents separated? Yes No Double Mailing requested?_____Yes_____No

Legal guardian (relationship)

Party responsible for fees

Emergency Information if you can’t be reached:

Name(s) Relationship Phone Number

1

Student’s Name

(Last) (First) (Middle)

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LIST ALL SCHOOLS STUDENT ATTENDED FROM K THROUGH PRESENT:

Year Grade School & Location (including mailing address)

Extra-Curricular School/Parish Activities:

List student’s brothers and sisters:

Name School Attending/Attended Grade/Year of Graduation Age

Has student ever been DISMISSED from school for any reason? Yes No

Asked to withdraw? Received severe disciplinary censure?

If “Yes” to any of these questions, attach details including name of school and year.

Will this be the oldest (or only) child attending? Yes No

Nearest public school to applicant’s home:

HEALTH FORM

Has student been absent more than five (5) days during the most recent school term?

If so, please explain further:

Allergies:

List any serious or chronic illnesses or medical conditions:

Does student take any medication routinely? If so, what?

Does student have special needs (medical or academic)?

If so, please explain further:

PLEASE ATTACH THE FOLLOWING:

Xerox copy of the latest report card Copy of Baptismal Certificate

Standardized test scores Pastor approval letter

Birth certificate Updated health card

Copy of Social Security Card

Failure to provide all requested information may result in student not being considered for admission.

Date Parent’s Signature

The admission policy of the school prohibits discrimination in accordance with the Title IX of the Civil Rights Act of 1964.

2

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Catholic of Pointe Coupee School

Church Parish Participation & Verification Form

DIRECTIONS: Please give thought and reflection to your responses and attach additional pages if needed.

Deliver completed form, either by mail or in person, to your pastor. He will sign and return to the school.

Student’s Name

Student’s Father

Father’s Religion

Attended Catholic School?

Where & when graduated?

Occupation

Place of Business

Work phone

Home phone

Student’s Mother

Mother’s Religion

Attended Catholic School?

Where & when graduated?

Occupation

Place of Business

Work phone

Home phone

Church Parish Registered in? Church Parish Registered in?

Student Information:

Baptized Catholic?

Grade for upcoming year?

Where baptized?

Previous School attended

Questionnaire:

1. Participation at Sunday Mass: Do you and your children attend Mass (a) Faithfully (b) Usually

(c) Occasionally (d) Seldom (e) Never. Circle one and explain.

2. Are you an identified offertory contributor in your parish? Do you use the church envelopes?

3. As Catholic parents, please describe your support and participation in the ministries/life of your church

(lector, Eucharistic Minister, religious education, church maintenance, music, etc.)

Over

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4. Parents are the primary religious educators of their children. Describe the faith life of your family at

home that supports your child’s faith development.

5. Please tell why you wish to enroll your child at Catholic of Pointe Coupee School.

6. If your child attended public school, please describe their participation in religious education.

-------------------------------------------- Do Not Write Below this Line ---------------------------------------------

Pastoral Review

( ) I can confirm this family’s participation in our church community.

( ) I cannot confirm this family’s participation in our church community.

( ) I recommend that this family be required to obtain parish verification next year in order to

register for Catholic of Pointe Coupee School.

Pastor’s Signature Date

Name of Parish

Comments:

Pastors: Please mail to Catholic of Pointe Coupee, 304 Napoleon St. (Elementary) or 504 4 th Street (HS), New Roads, LA 70760.

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l

Request for Records

Catholic of Pointe Coupee School

405 Louisiana Street

New Roads, LA 70760

(225)638-9313 Phone

225-638-9953 (Elementary fax) or 225-638-6471 (HS fax)

Please forward the following cumulative records:

___ academic: health/medical; testing; attendance; discipline; psychological;

other (describe)

Student Information

Last Name:____________________________

First Name: Middle Name:

Social Security Number:

Grade (Current grade placement): _

Date of Birth (Month, Day, Year): _

Gender: Male Female

Race: (check one) African American/Black American Indian

Caucasian/White Hispanic Asian

Catholic of Pointe Coupee Principal Signature Parent Signature

T11is Doc11111e11t Contains Confidential Student J11for111atio11

Name and Address of Former School School Phone Number _

Principal of Former School

Date entered Catholic of Pointe Coupee:

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School Transfer Application Form - (If transferring from a school in the Diocese o(Baton Rouge)

A. PARENT INFORMATION (To be completed by parent)

Student's Name Grade Entering _______

Parent's Name-----------------Phone------

Address---------------------------

Church Parish-------------------------

Transferring from (name of school)

Parents' reason for transfer--------------------

B. PRESENT SCHOOL INFORMATION (To be completed by School Personnel}

Please rate the student on the following scale:

Ounlitv Excellent Ve1y Good Avern!(e Poor

Academics

Attendance

Attitude/Relations With Peers

Attitude/Relations

With Teachers

Character

Follows School Rules/Re ula !ions

Judgment

Parental Involvement

Self-Control

Additional comments:

Does this student require special accommodations and/or services? _________

Signature Position Date ______

Please mail or fax to: Catholic of Pointe Coupee

405 Louisiana Street

New Roads, LA 70760

(225)638-9953 fax Elementary or (225) 638-6471 for High School fax

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CATHOLIC INTERPAROCHIAL SCHOOL OF POINTE COUPEE

COVENANT

Catholic of Pointe Coupee call administrators, teachers and parents to acknowledge that

the spiritual formation of our children is the primary responsibility of the parent. The Catholic

School assists and reinforces that formation. We understand that it is the stated mission of

Catholic of Pointe Coupee to provide an environment which contributes to the formation of their

Catholic identity, by providing a foundation for a life of prayer, knowledge and service. In order

to achieve the greatest harmony between home and school in passing on our faith, and meeting the

challenges of Catholic living we make a conscious commitment to the following practices:

For Catholic Families:

We pledge to instill in our children the values of Jesus Christ through regular Mass attendance,

participation in the life of the Church, and development of a substantive family prayer life.

We pledge to support St. Mary’s Catholic Church or our home Catholic Church parish and its

ministries through contributions of time, talent and offering.

We pledge through prayer and lifestyle, to uphold and support the Roman Catholic Church, its

teachings and its doctrines.

For Non-Catholic Families:

We pledge to instill in our children the values of Jesus Christ through regular church attendance,

participation in religious rites and practices, and development of a substantive family prayer life.

We pledge support to our chosen church, synagogue, or temple and its ministries through

contributions of time, talent, and offering.

We pledge through prayer and lifestyle, to uphold the philosophy which governs Catholic of Pointe

Coupee School.

Signature of Parent/Guardian Print Name Date

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Parent Service Hour Program Guidelines .

1. Fifteen (15) service hours are required per family per school year.

2. Service hours are any that directly benefit Catholic of Pointe Coupee.

3. If a family chooses not to participate, there will be a financial obligation of $500 due and payable together with tuition for the upcoming academic school year. Parent Service Hour Forms are due on March 31st of each year. If we do not receive your completed parent service hour form by March 31, 2019 and/or less than 15 hours of service are performed you will be billed for the unperformed service hours. NO EXCEPTIONS!

4. Service hours may be completed by any non-student family member or designee. Students cannot perform parent service hours.

5. The service hour program runs from April 1 – March 31st. Parents can earn service hours for the 2018/2019 school year from April 1, 2018 – March 31, 2019.

6. Service hours may not be sold, transferred, or carried over to the following year.

7. Service Hours will only be counted if submitted on the approved Service Hour Form via fax (638-3563), email

([email protected]), mail or hand delivered to the Business Office (405 Louisiana St., New Roads) or sent to school with your child. The form is on the website under Parents/Parent Responsibilities. Please keep a copy for your own records. If you send your form with your student, please know there is a risk that it may not reach the office. Please note that sign-in sheets do not replace Parent Service Hour Forms.

8. EXEMPTION: Due to the large number of volunteer hours worked by those serving in the following roles, they will not be required to list all Service Hours but must complete the Exemption section of the Service Hour Form and submit to the Business Office before March 31st. (Exemptions apply to: School Board members, Home & School President and VP, Green Hornet Club President and VP, volunteer athletic coaches)

9. If a family performs more than 15 hours in a given school year, your name will be placed in a drawing for discounted tuition for the following school year. **NEW** You will be awarded an additional entry into the drawing for hours worked in excess of the minimum required hours. For example, if you turn in the following number of APPROVED hours, you will receive the following number of entries into the drawing:

15 hours – no entry into drawing

16-20 hours – 1 entry

21-25 hours – 2 entries

26-30 hours – 3 entries

31-35 hours – 4 entries, etc.

10. Service opportunities can be found on the website under Parents > Parent Responsibilities.

Additional Rules and Regulations:

*NEW* Chaperoning Elementary field trips does not count toward your service hour requirement. The only field trips

that count toward service hours are the 7th/8th grade Washington/New York and Beta Club Convention. These approved

field trips have a MAXIMUM OF 10 HOURS that can count toward Parent Service Hours. In addition, only one family

member may receive service hours for these particular field trips.

Transporting your student to and from school activities will not count toward Parent Service Hours unless you have been

asked by the school to be an official driver for students to a particular event.

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Parent Service Hours (Deadline 3/31)

Family receiving credit for service hours Name: ________________________ Address: ________________________ School Yr: ________2018 /2019 ______ Students: ________________________

Date Activity Hours School Personnel Adult Performing Worked In Charge the Service Hours

Notes:

Exempt from service hours? Reason: __________________________________________ School Administration signature _____________________________________

*Submit via fax 225-638-3563, email [email protected], mail (405 Louisiana Street, New Roads) or hand deliver to Business Office.

One Family, One Vision in Christ

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LOUISIANA DEPARTMENT OF HEALTH

OFFICE OF PUBLIC HEALTH

IMMUNIZATION SCHEDULE

2016 through 2017

Depending on the child's age, choose the appropriate initial set of immunizations.

RECOMMENDED SCHEDULE FOR IMMUNIZATION

OF INFANTS AND CHILDREN

ACCELERATED SCHEDULE FOR CHILDREN STARTING IMMUNIZATIONS LATE

AGE

Birth HBV

2 Months§ DTaP, Hib, IPV, HBV, PCV◊ , RV

4 Months DTaP, Hib, IPV,PCV, RV

6 Months DTaP, Hib, IPV, HBV, PCV, Flu,

RV

12-15 Months DTaP, Hib, MMR, Var, PCV, HAV

18-23 Months HAV

4 Years Of Age DTaP, IPV, MMR, Var

Or Prior To

School Entry

11-12 Years Tdap, MCV4, HPV∞ (VAR, MMR, HBV

If needed)

16 year MCV4

CHILDREN 4 MONTHS TO 7 YEARS OF AGE

1st Visit‡

DTaP, Hib*,IPV,MMR,HBV,HAV,

Var, Flu, PCV◊

2nd Visit DTaP, Hib, HBV, IPV, PCV, Flu (4 wks. after the 1st visit)

3rd Visit DTaP, Hib, PCV (4 wks. after the 2nd visit)

4th Visit DTaP, Hib, HBV, IPV, PCV,HAV (6 mos. after the 3rd visit)

4 Years Of Age†

DTaP, IPV, MMR (Var if needed)

Or Prior To School Entry

CHILDREN 7-18 YEARS OF AGE

1st Visit Tdap, IPV, HBV, MMR, Var

2nd Visit Td, IPV, HBV, MMR (4 wks. after the 1st visit)

3rd Visit Td, IPV, HBV (6 mos. after the 2nd visit)

11-12 Years Tdap, MCV4, HPV ∞ (Var,

MMR,HBV,IPV if needed)

16 Years MCV4

VACCINE ABBREVIATIONS

HBV HEPATITIS B VACCINE, HAV HEPATITIS A VACCINE, DTaP DIPHTHERIA - TETANUS - ACELLULAR PERTUSSIS VACCINE, Hib HAEMOPHILUS INFLUENZA TYPE B

VACCINE, Td ADULT TYPE TETANUS AND DIPHTHERIA VACCINE , Tdap TETANUS AND DIPHTHERIA TOXOIDS AND ACELLULAR PERTUSSIS VACCINE, IPV INACTIVATED

POLIOVIRUS VACCINE, RV ROTAVIRUS VACCINE, FLU INFLUENZA VACCINE, MCV4 MENINGOCOCCAL CONJUGATE VACCINE, HPV HUMAN PAPILLOMAVIRUS VACCINE

MMR MEASLES - MUMPS - RUBELLA VACCINE, VAR VARICELLA VACCINE, PCV PNEUMOCOCCAL CONJUGATE VACCINE.

Individuals with altered immunocompetence, due to disease or medication must be evaluated by a physician prior to vaccination.

THE SCHEDULE ABOVE AND THE FOLLOWING GUIDELINES ARE SUMMARIES, FOR MORE DETAILED INFORMATION ON EACH VACCINE, REFER TO THE MANUFACTURERS’

PRODUCT INSERT OR VIST THE NATIONAL IMMUNIZATION PROGRAM WEB SITE AT WWW.CDC.GOV/VACCINES OR CALL THE NATIONAL IMMUNIZATION HOTLINE AT 800-232-2522

(ENGLISH) OR 800-232-0233 (SPANISH).

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HBV - Unimmunized infants should be given a first dose of Thimerosal-free HBV when first encountered, a second dose a minimum of 1 month later, and a third dose a

minimum of 4 months after the first. Children aged 11 through 18 years of age who have not previously received 3 doses of Hepatitis B vaccine should be vaccinated. The 2nd dose should be administered at least 1 month after the 1st dose, and the 3rd dose should be administered at least 4 months after the 1st dose and at least 2 mos. after the 2nd

dose. The minimum age for dose #3 is 6 months. Hepatitis B vaccine is routinely recommended for all children up to 19 years of age.

HAV – Routine Hepatitis A vaccination is recommended for all children 12 months through 18 years of age. The two doses in the series should be administered at least 6

months apart.

DTaP - DTaP vaccine is recommended and can be administered any time after 6 weeks of age. The 4 th dose of DTaP vaccine should be given at least 6 months after the 3rd

dose. Pediatric DT (Diphtheria-Tetanus) should be substituted for DTaP when Pertussis vaccine is contraindicated. Persons aged 7 and older who are fully immunized with

DtaP should receive a Tdap at 11- 12 years in place of Td booster. Persons aged 7 years and older who are not fully immunized with DTaP vaccine should receive Tdap vaccine as 1 (preferably the first) dose in the catch-up series; if additional doses are needed, use Td vaccine. For children 7 through 10 years who receive a dose of Tdap as

part of the catch-up series, an adolescent Tdap vaccine dose at age 11 through 12 years should NOT be administered. Td should be administered instead 10 years after the

Tdap dose. Adolescents 13-18 years who missed the 11-12 year Td/Tdap booster should also receive a single dose of Tdap if they completed the recommended childhood DTaP series. No minimum interval required between giving doses of Td and Tdap. Subsequent routine Td boosters are recommended every 10 years.

Hib - Hib vaccine can be administered any time DTaP vaccine is given. If PRP-OMP (PedvaxHIB [Merck]) is administered at 2 and 4 mos. of age, a dose at 6 mos. is not required. Children who are 7 months of age or older at the time they receive the 1st Hib vaccination should be immunized as follows: 1) Unimmunized infants 7-11 months

of age should receive a 3-dose regimen. A first dose should be given now, a second dose 1 month later, and a 3rd dose after 12 months of age, at least 2 months after the

previous dose. (2) Unimmunized children 12-13 months of age should receive a primary series of one dose and a booster at age 15 months. (3) Unimmunized children 15 months of age or older who have not yet reached their 5th birthday should receive 1 dose.

PCV - All children should receive a 3 dose primary series and a booster if vaccination begun at 6 mos. of age; a 2 dose primary series and a booster if vaccination is begun

between 7 and 11 months of age; a 2 dose series and no booster if vaccination is begun between 12 and 23 months of age. If vaccination is initiated at 24 months of age,

the child should receive 1 dose of PCV. Children 24 through 59 months of age should receive a single dose of PCV13. Children with underlying medical conditions, a

single supplemental PCV13 is recommended following primary series. High risk or presumed high risk for pneumococcal disease should be immunized with Polysaccharide Vaccine (PPSV) depending on the number of doses of PCV that they have received. PCV vaccination is required as part of the Daycare/HeadStart

Immunization Requirement for children less than 24 months of age.

IPV - For infants, children and adolescents up to 18 years of age, the primary sequential series of IPV consists of four doses. The primary series is administered at 2

months, 4 months, 6-15 months and 4 years of age, or as age appropriate. A minimum of 6 month is required between the last two doses of IPV.

RV - Administer the first dose between 6 and 14 weeks, 6days of age. Maximum age for any dose is 8 months. Minimum interval between doses is 4 weeks. Monavalent

RV1 is administered at 2 and 4 mos. of age, and then a dose at 6 mos. is not required. Pentavalent RV5 is administered at 2 months, 4 months and 6 – 8 months. If RV brand is unknown a total of three (3) doses are needed.

HPV – HPV vaccine is a 2 dose series for ages 9-14 years and a 3 dose series for ages 15-26 years. Administer the first dose of HPV vaccine between 11-12 years. Administer the second dose 6-12 months after the first dose. If the series was started at 15-26 years, then a three dose series is required: Four week minimum interval

between dose 1and dose 2. A minimum interval of 12 weeks required between dose 2 and dose 3. The 3rd dose should be given at least 24weeks after the 1st dose.

Adolescents aged 9-14 years who have already received two doses of HPV vaccine less than 5 months apart, will require a third dose.

MMR - Two doses of MMR vaccine after 12 months of age are required with a minimum of 28 days separating them. If a child has received 2 doses of MMR vaccine

after 12 months of age, another dose after the 4th birthday is not necessary. Children 11-18 years of age not previously immunized with MMR should receive two doses.

Individuals with one dose of MMR must receive an additional MMR Vaccination. Students in schools of higher learning must receive 2 doses of MMR prior to

registration.

MCV4 - Meningococcal conjugate vaccine should be administered to all children at age 11-12 years, a booster dose on/after 16 years. The minimum interval between doses

of MCV vaccine is 8 weeks. Only one (1) dose is needed if first dose given on or after age 16.

Var - All susceptible children who are at least 12 months old through 18 years of age are eligible. Administer the second dose of Varicella at age 4 – 6 years. Varicella

Vaccine may be administered prior to 4-6 years, provided that 3 months have elapsed since the first dose and both doses are administered at 12 months. Susceptible

persons aged 12 years should receive two doses at least 1 month apart. Parental history of having had chickenpox is acceptable. Physician documentation is not necessary at this time.

Flu - Routine annual influenza vaccination is recommended for all children 6 mos – 18 years. Two doses administered at least 1 month apart are recommended for children aged 6 mos – 8 yrs who are receiving the influenza vaccine for the 1st time, as well as, those who only received 1 dose in their previous year of vaccination, if

applicable.

§ DTaP, IPV, HBV, PCV, RV and Hib can be administered as early as 6 weeks of age and simultaneously.

† LOUISIANA STATE LAW requires prior to school entry: 2 doses of MMR, 3 Hepatitis B, 2 Varicella and booster doses of DTaP and Polio vaccines

on or after the 4th birthday and prior to school entry. A preschool dose is not necessary if the 4th dose of DTaP and the 3rd dose of IPV (provided it is

administered at least 6 months after dose 2) are administered after the 4th birthday. Sixth graders (11 -12 years of age) are required: 1 Tdap, 2 VAR, 2MMR, 3

HBV, 1 MCV. Entry for institutions of higher learning requires 2 doses of MMR, 1 Td/Tdap and 2 doses of MCV4 OR 1 dose, if first dose was given on or after age 16.

‡ Depending on the child’s age, choose the appropriate initial set of immunizations. Sometimes a scheduled dose of vaccine may not be given on time. If this occurs, the dose should be given at the next visit. It is not necessary to restart the series of any vaccine due to extended intervals between doses.

see Hib section ∞ see HPV section ◊ see PCV section

Adolescents and post adolescents (11-18 yrs.) should be vaccinated with a second dose of MMR, Varicella (if no history of disease) and Hepatitis B if no

history of previous vaccination.

Four Day Grace Period: All vaccine doses administered less than or equal to four days before the required minimum interval or age shall be considered valid doses

when evaluating a student record for compliance with immunization requirements for schools and child care entry. The Advisory Committee on Immunization Practices (ACIP) continues to recommend that vaccine doses not be given at intervals less than the minimum intervals or earlier than the minimum age.