Glennwood Weekly COVID-19 Testing
Complete this form to indicate whether or not your child will participate in weekly testing at [insert school name]. Register and provide consent using this link [insert school specific link]. If you have any questions, contact [insert contact person].
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Parent/Guardian's name *
Parent/Guardian email address *
Parent/Guardian phone number *
Student's Name (complete one form per child) *
Student's teacher *
Student's date of birth *
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My child will participate in weekly testing at Glenwood. *
Final registration step
The final step in the registration process is to use the link below to register with Mako Medical. Registering through this link must be completed before your child can participate in school-based weekly testing. Please note, if you have participated in testing at the Wilson Center, you must fill out the link in this form to participate in school-based testing. https://schools.coquihealth.com/registration/18c070b0-1d1c-486b-aedf-9a863671baf9
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