Section 16.02.11.102 - EVIDENCE OF IMMUNIZATION STATUS01.Immunization Record. Within the deadlines established in Section 101 of these rules, a parent, custodian, or guardian of each child must present to the licensed daycare facility operator an immunization record.02.Schedule of Intended Immunizations Form. A child who has received at least one (1) dose of each required vaccine and is currently on schedule for subsequent immunizations may conditionally attend daycare when a schedule of intended immunizations form is provided. The licensed daycare facility operator must have a schedule of intended immunizations form completed by a parent, custodian, or guardian for any child who is not immunized, excepted, or exempted, and who is in the process of receiving, or has been scheduled to receive, the required immunizations. A form provided by the Department, or one similar, must include the following information:a. Name and date of birth of child;b. Type, number and dates of scheduled immunizations to be administered;c. Signature of the parent, custodian, or guardian; andd. Signature of a licensed health care professional providing care to the child.Idaho Admin. Code r. 16.02.11.102