Student Consent Form:  Weekly COVID-19 Pool Testing and/or Test and Stay Protocol
Parents are asked to provide consent for their child to participate in weekly COVID-19 pool testing and the Test and Stay protocol.  Pool testing and the Test and Stay protocol are key mitigation strategies as we work to provide a healthy and safe learning environment for students and staff in the Chelmsford Public Schools.  You may consent for your child to participate in either or both programs.

If a parent elects not to have their child participate in the Test and Stay Program, the child must follow the traditional COVID-19 test and quarantine protocols if identified as a close contact to a COVID-19 positive case.  Pool testing is strongly encouraged and recommended for unvaccinated individuals.  Participation in Pool testing is not recommended for vaccinated individuals; however, they may participate if desired.  Please complete a separate form for each child that attends Chelmsford Public Schools.

A signed consent is required for both the Pool Testing and Test and Stay Programs.  If a parent would like their child to participate in only 1 program (Pool Testing OR Test and Stay), please select and designate only 1 option from the consent form below.  Chelmsford Public Schools are not currently offering symptomatic testing.  The symptomatic testing option is included in this consent link, however, is not available in our district.

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Child's First Name *
Child's Last Name *
What school does your child attend (Please complete a separate form for each child in your family)? *
In what grade is your child enrolled? *
I consent for my child to participate in (Select one or both options): *
Required
Please select the link below to be directed to the CIC Health Platform to provide consent for your child to participate in weekly COVID-19 Pool Testing and/or the Test and Stay Program.  After you provide consent in the CIC Platform, return to this form and select "Submit" to complete the registration. *
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