At Intermountain Adventist Academy, we are very excited to have the opportunity to help foster a life-long love of learning. To start your child on an amazing academic path, please take a moment to fill out the following forms.

 

Continuing students and new students will need to fill out the following:

Online Student Application

Consent to Treat & Health Information Form

Field-Trip Form

 

New students will also need to provide the following:

A copy of student's birth certificate

A copy of student immunization records

Records Release Form

 

We also ask that all parent's/guardian's fill out our Volunteer form. It is important that we are able to work as a team with you to provide the best experiences for your child!

Volunteer Background Check Form

 

 

Immunization Information and Forms

Colorado law requires all students attending Colorado schools and licensed child cares to be vaccinated against certain diseases unless they have a certificate of medical or nonmedical exemption on file. 

Please submit your child’s immunization record to the school office or submit a completed exemption form. Please note that nonmedical exemption forms now expire June 30th of each year  so a new nonmedical exemption form must be submitted each year.

 

NonMedical Exemption

Beginning in the 2021-2022 school year (7/1/2021), the process of submitting a nonmedical exemption will change. There will be two ways to submit a nonmedical exemption.

Please submit a printed copy of the Certificate of nonmedical exemption to the school office.

Submit the Certificate of nonmedical exemption WITH a signature from an immunizing provider in Colorado who is a medical doctor, doctor of osteopathic medicine, advanced practice nurse, delegated physician’s assistant, or pharmacist  

OR

Submit the Certificate of nonmedical exemption received upon the completion of CDPHE’s Online Immunization Education Module.

Parents of students in grades K-12 claiming a nonmedical exemption must submit one annually. Nonmedical exemptions expire June 30th each year. If you submit a Certificate of nonmedical exemption on or before June 30th, it will not be valid for the upcoming school year unless you submit the exemption during early registration.

More information and online education module: https://cdphe.colorado.gov/vaccine-exemptions

Nonmedical Exemption Form – English
Nonmedical Exemption Form – Spanish

 

Medical Exemption

Students with a completed Certificate of medical exemption signed by an advanced practice nurse, a delegated physician assistant, or physician licensed to practice medicine or osteopathic medicine in any state or territory of the United States will need to submit this Certificate only once unless the student’s information or school changes.

Medical Exemption Form – English
Medical Exemption Form – Spanish

 

All forms can be mailed to:

Intermountain Adventist Academy

550 25 1/2 Road

Grand Junction, CO 81505



Related Information

Application Calendar School Supplies Uniform