Student Surveillance Testing Follow Up

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UPDATE AS OF 2/1/22 - Families interested in joining this surveillance testing program can sign up now. Test kits include two tests and will be sent home ever other week with students.

If you are not already participating in this program, please complete the form below. One per student.
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1/11/22 - The Putnam Valley School District plans to begin our student surveillance testing this week. At this time, we have home testing kits available for those families who requested to participate in our student surveillance testing program. Before a testing kit will be sent home, please complete the questions below.

Email *

Student Last Name

Student First Name

Student Grade

Kindergarten

Grade 1

Grade 2

Grade 3

Grade 4

Grade 5

Grade 6

Grade 7

Grade 8

Grade 9

Grade 10

Grade 11

Grade 12

Clear selection

Parent Contact (Full Name)

Parent Contact (Phone Number)

Please confirm your request for your child to participate in surveillance testing for COVID-19

Yes

Yes, but only when symptomatic

Clear selection

Please confirm that your child should be sent home with a COVID-19 test kit.

Please send my child home with a test

Do not send my child home with a test

Submit

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