By completing and submitting this form, I confirm that I am the appropriate parent, guardian, or legally authorized individual to opt-in to the at-home antigen testing program.

Opt-in: I understand that my school district will provide the at-home antigen tests to only those students and staff, vaccinated or unvaccinated, who opt-in.

Training: I understand that my school district will provide at-home antigen test administration training information, including instructions on when tests should be taken. I agree to read/watch the training materials prior to administering the test on my child.

Test distribution: I understand that at-home tests will be available every two weeks. I understand that each test kit contains two individual tests, kits will come home in student backpacks (unless otherwise arranged), and I will administer the test with my student weekly or as recommended by the school nurse (if symptoms occur or for re-entry).

Reporting test results: I understand that if my student tests positive, I will report the positive test result to my student’s school and my healthcare professional. I understand the school will keep any reported test results confidential and individual results will not be made public.

Voluntary participation: I understand that opting into the at-home antigen test program is optional and that I can choose not to participate at any time. To cancel this opt-in for the at-home antigen testing program, I need to contact Tara Barnes at tbarnes@clarksburgschool.org