Section 16.02.15.102 - EVIDENCE OF IMMUNIZATION STATUS01.Immunization Record. Within the deadlines established in Section 101 of these rules, a parent, custodian, or guardian of each student must present to school authorities an immunization record.02.Schedule of Intended Immunizations Form. A student who has received at least one (1) dose of each required vaccine and is currently on schedule for subsequent immunizations may be conditionally admitted. School authorities, at the time of admission and before attendance, must have a schedule of intended immunizations form completed by a parent, custodian, or guardian for any student 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 student;b. School and grade student is enrolled in and attending;c. Types, numbers, and dates of scheduled immunizations to be administered;d. Signature of the parent, custodian, or guardian; ande. Signature of a licensed health care professional providing care to the student.03.Students Admitted to School and Failing to Continue the Schedule of Intended Immunizations. A student, who does not receive the required immunizations as scheduled in Subsection 102.02 of this rule, will be excluded by school authorities until documentation of the administration of the required immunizations is provided to school authorities by the student's parent, custodian, or guardian.Idaho Admin. Code r. 16.02.15.102