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RCSD - COVID Testing Registration
Once you have made an appointment to be tested, please complete ONE form for EACH individual being tested. Thank you!.
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* Indicates required question
Email
*
Your email
Last Name of Person Being Tested
*
Your answer
First Name of Person Being Tested
*
Your answer
Date of Birth of Person Being Tested
*
MM
/
DD
/
YYYY
Street Address of Person Being Tested
*
Your answer
City of Person Being Tested
*
Your answer
State of Person Being Tested
*
Your answer
Zip Code of Person Being Tested
*
Your answer
Best Contact Phone Number
*
Your answer
School Person Being Tested Attends or Works at
*
Milton
Midland
Osborn
Rye Middle School
Rye High School
Central Administration Building
Date of Testing Appointment
*
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
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