SSDS COVID Test & Vaccination Verification 
This form is used to collect required COVID test and vaccination information for children and adults. 

When do I use this form to certify COVID tests results?
  • First Week of School: All staff and students + any parents/approved caregivers entering the building for drop off & pick up will test for COVID the first week of school prior to orientation (test should be taken day before or morning of).
  • Prior to Parent Participation Day: All parent participants must test the day before or morning of their participation day in the classroom.
  • After Major Breaks: All staff and students + any parents/approved caregivers entering the building for drop off & pick up will test and provide certification of negative results after major breaks such as Thanksgiving, Winter Break, MLK, Presidents Day, Spring Break, and Memorial Day Weekend.
  • After Travel: For travel to any US or International destination that is designated at a high COVID community level, take a COVID test after travel and prior to returning to school. At this time we do not require you to wait a designated amount of time after travel in the US or internationally before testing, but this may change depending on any new developments. If the decision is to not test, then individuals will stay home and self-quarantine for 5 days after travel.
Should you have COVID symptoms or have been exposed to someone who is COVID positive, please immediately call the office for guidance. COVID test documentation in these situations will need to be sent directly to office@silverspringdayschool.org. Please do not use this form in these situations. 

Please note: we accept at-home or PCR tests. If using an at-home test be sure to use a currently valid test (some tests have updated expiration dates). Also, please be sure that any at-home test used for a child is authorized for 2+ and EUA authorized (such as iHealth or BinaxNOW).

Are you a parent participant, staff, sub, or volunteer? At the end of the form, you will be asked to certify that you have completed your COVID primary series vaccination. Thank you for doing this each time you complete the form.
  • The COVID primary series vaccination is required for all staff (including subs), parents who are participating in the classroom, and any volunteers. We highly recommend boosters when available and eligible.
  • SSDS strongly recommends that children be vaccinated now that the vaccine for 5 years and under is available. Currently COVID vaccination is not required for children. 
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Email *
Name of Individual Completing the Form (Families, please note if you are entering test or vaccination information for more than one parent/caregiver please list all relevant names) *
Name of Child/ren (Families, if you are entering information for more than one child at SSDS please list all relevant names). Staff or SSL Volunteer, please skip.
Class of Child/ren, select all that apply if completing for siblings (Teachers, please select your class. Subs & Volunteers, please skip).
Reason for submitting a COVID Test Verification. *
Please indicate who took a test (check all that apply). *
Required
Please indicate test results. Families --- if you are submitting this form for multiple people --- should any individual's test results show up positive, please select "Positive Test Results" and immediately call the office or email office@silverspringdayschool.org.  *
Date of COVID Test/s. *
MM
/
DD
/
YYYY
Please verify COVID vaccination status below. The primary series of the COVID vaccine is required for all staff, subs, parent participants, and SSL volunteers. Currently, it is not required for children.
Please check here to certify that you have had the primary series of the COVID vaccine. Families, if you are completing this form for more than one parent participant, by clicking "yes" here you are certifying that all approved participants in your family have had their primary series of the COVID vaccine. *
While it is not required for children, please let us know if your child/ren have had the primary series of the COVID vaccine (this question is optional, but helps us understand our whole community's vaccination coverage). 
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