OUSD Safety Agreement- Families
OUSD Families will be oriented to the Safety Protocols required for keeping schools safe during Covid- 19 pandemic. These agreements support a hybrid reopening plan for in-person instruction.

ONLY 1 FORM IS REQUIRED/FAMILY
Sign in to Google to save your progress. Learn more
Email *
Last Name of Students attending Sequoia (only 1 form needed per family) *
First Name(s) of Students attending Sequoia (only 1 form needed per family) *
Parent/Guardian Full Name *
My child/children will wear a face covering while at school, unless they have been granted a medical exemption (ask for the form if needed). *
My child/children will maintain social distance from others whenever possible. *
My child/children will wash and/or sanitize their hands regularly while at school. *
I will ensure that my child’s/children's Daily COVID Health Screening Form is completed in ParentSquare every day, ideally before my child leaves for school. *
I will ensure that my child/children is tested for COVID-19, if required by the District. *
I will not send my child/children to school if any of the responses to the Health Screening Form are YES. *
I will keep my child/children home for the amount of time directed by the District if my child tests positive for COVID-19, has symptoms of COVID-19, or has prolonged close contact to someone with COVID-19. *
I understand that sometimes very mild symptoms can be a sign of COVID-19. *
I will notify my child’s principal immediately if my child tests positive for COVID-19, has symptoms of COVID-19, or has prolonged close contact to someone with COVID-19 *
If my child/children tests positive for COVID-19 while on campus, I will arrange for them to be picked up/come home right away. *
If my child develops symptoms of COVID-19 while on campus, I will arrange for them to be picked up/come home right away. *
If my child/children has prolonged close contact to someone with COVID-19 while on campus, I will arrange for them to be picked up/come home right away. *
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of OUSD. Report Abuse