The influenza virus is responsible for hundreds of childhood deaths and costs the health care system millions of dollars each year (Hassan, Lewis, Davis, Gebremariam, and Dombkowski, 2009). The influenza vaccine is the most effective intervention for prevention of pediatric influenza, yet many parents decline this vaccine for their children. Studies completed in various geographic locations cite different factors influencing parents who decline pediatric vaccinations. Alaska has the second lowest rate of influenza vaccination in the country (Center for Disease Control [CDC], 2012). The purpose of this project was to understand the factors that influence parental decision to refuse influenza vaccination in Juneau, Alaska. A modified version of the Childhood Influenza Immunization Questionnaire, an instrument based on the Health Belief Model, was utilized to collect data from a convenience sample of parents at a private pediatric practice in Juneau, AK. Statistical analysis revealed the only significant influencing factor on parents’ decisions on whether to vaccinate against influenza was their perception of vaccine risk (p < .001). Information obtained from this study will be used to educate local providers in the community with the goal of enabling said providers to overcome resistance to vaccination hesitancy based on parent perceptions.