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Commissioner Davey's Letter to Parents on Creating 21st Century NJ Schools H1N1 CONSENT FORM TO VACCINATE STUDENT AND H1N1 INFORMATION SHEET - DUE TUESDAY, NOVEMBER 10, 2009. If you do not submit a consent form by Tuesday November 10, 2009, your child will not be eligible for the H1N1 vaccine. Print the Consent Form as a 2-sided document , complete the information and return to the Homeroom Teacher.

