All students enrolling in any school will need copies of the student's birth
certificate, up-to-date immunizations and physical.
School Physical Form - Preschool & Kindergarten
Can be uploaded during registration.
KY Immunization Certificate- Preschool & Kindergarten
A Varicella (chicken pox) vaccine is required. This requirement will not apply to children
who have had the chicken pox.
Dental Form Required to by Jan. 1, 2022
Vision Form Required to by Jan. 1, 2022- Preschool & Kindergarten
Official Birth Certificate- Preschool & Kindergarten
Can be uploaded during registration. Only official certificates may be uploaded.
The Hart County Health Department is open Monday-Friday,
8:00 a.m.. to 4:30 p.m.. to provide immunizations.
Please take your child's immunization record when requesting
an immunization certificate.
Please call 270-524-2511 for an appointment.
1. Proof of age – Upon enrollment for the first time in any
elementary or secondary school, a student or student’s
parent shall provide a copy of the student’s official birth certificate.
2. A current Kentucky immunization certification form shall
be on file within (2) two weeks of a student’s enrollment in school.
3. The preventive health care exam dated within 1 year prior
to initial admission to school and shall be reported on the
Preventive Student Health Care Form, KDESHS002, or an
electronic medical record that includes all of the data equivalent
to that on the Preventive Student Health Care Form.
4. Student's Social Security Card can be uploaded during registration.
Required prior to attending the first day of Kindergarten.
5. KRS 156.160 states all children entering at 3, 4, 5, or 6 years
of age public preschool and Head Start or public school for the first time
to have an eye examination by an optometrist or ophthalmologist no later
than January 1 of the school year.
6. Must be 5 years of age on or before August 1 of the given school year.
7. KRS 156.160(i) requires a Dental Exam/Screening when a student
enters kindergarten. The Dental Exam/Screening must be between
January 1st and December 31st of the year the student enrolls in kindergarten.
Bonnieville Elementary - 270-531-1111
Amendments to the state law regarding immunization schedules (902 KAR 2:060) required for attending school
took effect in the 2018-19 school year. There is a timing requirement for the vaccination schedule, so families
should plan on an early start in order to be prepared for the upcoming school year.
- All students in kindergarten through twelfth grade must show proof of having received
two doses of Hepatitis A vaccine to attend school (doses are administered 6 months
or more apart), and
- Students 16 or older must show proof of having received two doses of Meningococcal
ACWY vaccine (MenACWY) to attend school. However, if the first dose of MenACWY
was received at age sixteen or older, the second dose is not required for school entry.
Parents and caregivers are encouraged to see their child’s medical provider or local health
department as soon as possible regarding immunizations. Updated and current immunization
certificates are to be submitted to the school before the start of the new school year.