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Optional COVID-19 Weekly Testing for Students (With Parental Permission Only)/ Pruebas semanales opcionales de COVID-19 para estudiantes (solo con permiso de los padres)
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* Indicates required question
Student First Name (Nombre del estudiante)
*
Your answer
Student Last Name (Apellido del estudiante)
*
Your answer
Building (Escuela)
*
Benjamin Cosor Elementary School (Escuela Primaria Benjamin Cosor)
Fallsburg Junior Senior High School (Escuela secundaria/preparatoria)
Grade (Grado)
*
Pre-K
K
1
2
3
4
5
6
7
8
9
10
11
12
Required
Parent First Name (Nombre de padre)
*
Your answer
Parent Last Name (Apellido de padre)
*
Your answer
Parent Email (correo electrónico de los padres)
*
Your answer
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