Student Opt-in for At-Home Rapid Antigen Testing
Updated COVID-19 K-12 Testing Program Opt-in Form
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Email *
Name of parent/caregiver filling in this form *
Student's Last Name *
Student's First Name *
Student's Date of Birth *
MM
/
DD
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YYYY
School your student attends *
Grade *
Student's Homeroom Number *
Submit
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