Test to Stay Permission Form
Hudson Falls CSD is implementing a Test to Stay (TTS) program for our unvaccinated population who has had a rare, extreme exposure (eg, student vomited in class). The intent of TTS is to keep as many students in school as possible. TTS would allow your student to stay in school should they be exposed to COVID or become symptomatic, and test negative on a rapid test.

In order for your child to be eligible for TTS, please complete this permission form.

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Student Name *
Date of Birth *
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๐—œ understand:
โ€ข My student has not been fully vaccinated.
โ€ข TTS only applies to exposures or developing symptoms during the school day or on school transportation.
โ€ข Participants will adhere to the testing protocol and schedule developed by the district.
โ€ข If the studentโ€™s qualifying exposure becomes known outside the school day, the student must receive a negative COVID-19 test prior to attending school the next day.

By choosing yes, I have read and understand the above information: *
๐—ฃ๐—ฎ๐—ฟ๐—ฒ๐—ป๐˜/๐—š๐˜‚๐—ฎ๐—ฟ๐—ฑ๐—ถ๐—ฎ๐—ป ๐—–๐—ผ๐—ป๐˜€๐—ฒ๐—ป๐˜
โ€ข The District must report all in-school test results to NYS laboratory system. POSITIVE at home test results must be self-reported on the Washington County website.
โ€ข Conduct active monitoring (explicitly asking the student about signs and symptoms of COVID-19) each day before and after
ย  ย school.
โ€ข.Immediately contact the childโ€™s healthcare provider and the HFCSD if any signs or symptoms develop.
โ€ข Refrain from sending the participating student to school if any signs or symptoms develop in the child or anyone in the home and call the school nurse to report the symptoms.
โ€ข Promptly pick up their child from school, should they test positive or develop signs or symptoms of COVID-19 during school instruction.
โ€ข Keep the student at the location specified in their quarantine order when not attending in-school instruction.
By electronically signing and dating below (Parent/Legal Guardian) you hereby give your student permission to Test to Stay. *
Date: *
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