COVID Testing Consent for 2021-22

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Please complete this form to allow your child to participate in COVID testing at School during the 2021-22 school year.

Students who are fully vaccinated will test biweekly. Everyone else will test weekly.

Please complete one per child.

Email *

Name of Parent/Guardian Completing this Form *

Student's First Name *

Please confirm that spelling is correct!

Student Last Name *

Please confirm that spelling is correct!

Student's Grade *

Student's Date of Birth *

Please double check the date and make sure you have the right birth year.

YYYY

Is your child fully vaccinated? *

Yes

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