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STUDENT COVID-19 TESTING CONSENT
Please complete this form to allow East Bridgewater Public Schools to weekly pool test your child for Covid-19 and administer the Abbott BinaxNow Rapid Antigen Diagnostic Test if required.
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Parent/Guardian Full Name
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Your answer
Parent/GUARDIAN Cell # (for results)
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Your answer
Parent/Guardian Email Address
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Your answer
STUDENT LAST NAME
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Your answer
STUDENT FIRST NAME
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STUDENT GRADE
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STUDENT HOMEROOM
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PARENT CONSENT SIGN OFF - Enter your name below to consent to have your child participate in weekly COVID-19 pool testing at East Bridgewater Public Schools.
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