Mask Exemption Request - Green Local Schools
In order to have a mask exemption, each student must have a separate mask exemption request on file.

Please email questions regarding the mask exemption request to: gren_dfrank@tccsa.net
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Student's Last Name
Student's First Name
Parent's Last Name
Parent's First Name
Grade Level of student
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Facial masks/coverings are not advisable due to a certified medical condition or a disability. Please provide appropriate explanation of the medical condition or disability. If not already on file, documentation of the medical condition or disability (e.g., documentation from a medical provider) must be provided to the school nurse.
My child has an established sincerely held religious requirement that exists that does not permit a facial covering. Please provide appropriate explanation of the established sincerely held religious requirement. In accordance with Board Policy, follow-up documentation may be required.
A copy of your responses will be emailed to the address you provided.
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