Student Covid-19 Notification Form

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Student Covid-19 Notification Form

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* Indicates required question

Your Name: *

Your answer

Best Number to be Reached at: *

Your answer

Child's Last Name *

Your answer

Child's First Name: *

Your answer

Child's Grade: *

Pre-Kindergarten

Kindergarten

First

Second

Third

Fourth

Fifth

Sixth

Seventh

Eighth

Ninth

Tenth

Eleventh

Twelfth

Optional Vaccination Question:

My child is vaccinated

My child is not vaccinated

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