COVID Test Waiver for Minors 2021-22
Please complete the following form to register your son for the Covid-19 test to be administered monthly at Leo High School by the LTE Preventive Health Systems team.  
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Parent First Name
Parent Last NAME
STUDENT First NAME
STUDENT Last NAME
STUDENT Date of Birth *
MM
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DD
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YYYY
Student Grade
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I voluntarily authorize my son to be tested monthly for  COVID-19 at Leo High School by the LTE Preventive Health Systems team .
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