Canton Central School COVID Home Test Kit Request
By completing this form, I am requesting one COVID Home Test Kit for my child and for the kit to be sent home with my child.  Please note that this form must be completed for each child in your home.  

We will honor requests on a first-come, first-serve basis and as our supply allows.

Depending upon demand, it may take a couple of days before a test kit request can be honored.
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Email *
Parent/Guardian Last Name
Parent/Guardian First Name
Child's Last Name *
Child's First Name *
If your child is in grades PK-6, please identify your child's homeroom teacher.
If your child is in grades 7-12, please identify the grade level:
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