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RCA Rapid COVID-19 Testing Sign Up
If you have received a letter of exposure and/or would like your student tested at school complete this form.
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即可保存进度。
了解详情
* 表示必填
电子邮件地址
*
您的电子邮件
Parent Name
您的回答
Student First Name
您的回答
Student Last Name
您的回答
Grade
K
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
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Teacher
选择
McCormick
Morey
Costa
Brooks
McBroome
McCauley
Spengler
Youmans
Gama
Muir
Sullivan
Weinstein
What date are you requesting for testing?
年
/
月
/
日
Have you previously registered your student through Primary Health for Rapid testing at school?
Yes
No
Not sure
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下一页
清除表单内容
切勿通过 Google 表单提交密码。
此表单是在 Enterprise Elementary School District 内部创建的。
举报滥用行为
表单
