NJ School Voluntary COVID-19 Testing  Parent/Guardian Consent Form for Minor Students
Student testing will maximize the longevity of in-person learning by quickly detecting, tracing, and isolating COVID-19 positive individuals — whether or not they begin to show symptoms. And it will provide families and staff with peace of mind. The current safety measures in place, combined with testing for staff and students, will lower the risk of transmission and allow more consistent access to inperson instruction for our students.    

What is the test?  The testing is an anterior-nasal swab test (a short swab no longer than a typical Q-Tip is inserted into the front portion of the nostril) and takes only a few seconds to collect. This is a non-invasive collection method.    

Will this information be shared?  This information will be shared only for public health purposes, which may include notifying close contacts of your child if they have been exposed to COVID-19 and taking other steps to prevent the further spread of COVID-19 in your school community. Sharing of information about your child will only be done so in accordance with applicable law and city policies protecting student privacy and the security of your child’s data. Therefore, we will not release your child’s name and test results to entities outside of the local school district and health department.  
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Student First Name *
Student Last Name *
Date of Birth *
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Address *
Sex *
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Race *
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Ethnicity *
School *
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