St. Albans City School COVID-19 Testing Consent
In the event your student may need a COVID-19 test, this will allow the nurses or qualified school personnel to conduct the test at school. If a test is completed, you will be notified either via email, phone call or written note.


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Email *
Student Name *
Student Grade *
Who is filling out this form? *
What email should communication be sent to? *
Please provide an email address that you check regularly.
*Please read below carefully prior to providing consent:
By choosing YES below, I am aware that I am consenting for my child to participate in COVID-19 testing while at school.

*I understand that the type of testing may vary based on supply.
*I certify that I am the parent or legal guardian of this student.
*Additional testing at home is/may be a requirement or school attendance.
*I understand that at any time I have questions or concerns I may contact school directly. School personnel will respond during
      school hours.
*I understand that school COVID-19 response testing is voluntary, and that I may decline to have my child participate at any time.
*I understand that if I decline to have my child participate in COVID-19 response testing, I may be asked to do so at home, to
     quarantine my child, or other COVID-19 responses based upon the latest guidance provided by the state.  

COVID-19 testing protocol is in accordance to Department of Health and Agency of Education guidance- please visit https://education.vermont.gov/sites/aoe/files/documents/edu-test-at-home-covid19-testing-protocol-for-winter-2022.pdf  for specific information.
I have read, agree and consent to the above statements: *
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