Any full time or part time student entering kindergarten in South Dakota shall present certification that the student has received the following immunizations:

(1) Four or more doses of DTaP vaccine, with at least one dose administered on or after age four. A child seven years and older requiring the primary series only needs three doses. The first dose of the primary series shall be Tdap and the second and third doses shall be Td, with at least six months between dose two and three. A child receiving six doses before age four does not require any additional doses for school requirements;

(2) Four or more doses of poliovirus vaccine, at least one dose on or after age four;

(3) Two doses of MMR vaccine or the submission of serological evidence of immunity. Minimum age for the first dose is twelve months with the second dose routinely administered between ages of four and six. The second dose may be administered prior to age four provided at least twenty-eight days have elapsed since the first dose; and

(4) Two doses of varicella vaccine. The minimum age for the first dose of varicella vaccine is twelve months. History of disease is acceptable in lieu of vaccination with parent or guardian signature.

Any full time or part time student age eleven or older entering sixth grade in South Dakota shall present certification that the student has received the Tdap and MCV 4 vaccine. A student who turns eleven during the sixth grade shall provide certification that the student has received these vaccinations within forty-five days following the student's eleventh birthday. If the student is medically contraindicated for Tdap, a dose of Td vaccine is required.

Any child entering school or an early childhood program in this state, shall, prior to admission, be required to present to the appropriate school authorities certification from a licensed physician that the child has received or is in the processof receiving adequate immunization against poliomyelitis, diphtheria, pertussis, rubeola, rubella, mumps, tetanus, meningitis, and varicella, according to recommendations provided by the Department of Health. The Department of Health may modify or delete any of the required immunizations. As an alternative to the requirement for a physician's certification, the child may present:

• (1) Certification from a licensed physician stating the physical condition of the child would be such that immunization would endanger the child's life or health; or
• (2) A written statement signed by one parent or guardian that the child is an adherent to a religious doctrine whose teachings are opposed to such immunization.

Any student entering a public or private postsecondary education institution in this state for the first time after July 1, 2008, shall, within forty-five days after the start of classes, present to the appropriate institution certification from a licensed physician that the student has received or is in the process of receiving the required two doses of immunization against measles, rubella, and mumps. As an alternative to the requirement for a physician's certification, the student may present:

• (1) Certification from a licensed physician stating the physical condition of the student would be such that immunization would endanger the student's life or health;
• (2) Certification from a licensed physician stating the student has experienced the natural disease against which the immunization protects;
• (3) Confirmation from a laboratory of the presence of adequate immunity; or
• (4) A written statement signed by the student that the student is an adherent to a religious doctrine whose teachings are opposed to such immunizations. If the student is under the age of eighteen, the written statement shall be signed by one parent or guardian.