Parent/Guardian Health and Safety Agreement

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Please read this entire document and complete the form by 08/18/21:

https://www.powayusd.com/PUSD/media/Communications/docs/PUSD-Parent-Guardian-Hlth-Sfty-Agmt-9-21-20-(2).pdf

You must complete ONE FORM PER STUDENT attending in person learning.

Email *

I have received, read, understand, and agree to all the terms set forth in the Poway Unified School District Parent Guardian Health and Safety Agreement for in person instruction for the 2021 school year. I have entered my name below and my student's name to indicate agreement. Enter parent/guardian first and last name here: *

Students last name. *

Students first name. *

Student's Grade in 2021-2022 *

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