USD 268 Summer Participation Covid Consent Form

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This form is required to be completed before students begin activity on campus, June 1.

Email *

Parent/Guardian Name *

Student Name (grade 7-12) *

Additional Student Name (grade 7-12)

I acknowledge that I have read page one. *

Yes

I acknowledge that I have read page two. *

Yes

I understand that USD 268 is providing limited access to district facilities for staff to host voluntary, optional activities for students of USD 268. The district staff is monitoring and following various guidelines in regards to Covid 19 from the Center for Disease Control (CDC), the state of Kansas, Sedgwick County, Kansas State Department of Education (KSDE), Kansas Department of Health and Environment (KDHE), and Kansas State High School Activities Association (KSHSAA). I understand that USD 268 cannot guarantee a virus free environment or that people on our campus will not contract Covid 19. By allowing my child to participate I understand that my child is participating at his/her own risk and such exposure or infection may result in personal injury, illness, permanent disability, or death. I understand the risk of becoming exposed to or infected by Covid 19 at school may result from the actions, omissions, or negligence of myself and others, including but not limited to, school employees, volunteers, and program participants and their families. *

Yes

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