The New York State Department of Health has determined that weekly COVID-19 screening for asymptomatic students needs to be made available should a geographic region experience a transmission rate of moderate or above.

The purpose of this survey is for ESBOCES to find out how many parents are interested in having their child participate in voluntary ongoing, asymptomatic weekly COVID-19 screening of students at their ESBOCES school facility.  Once that process has been put in place, parents will be contacted to gain written permission. Please note:  This testing program does not apply to diagnostic testing of students who are symptomatic or have been exposed to someone with COVID-19, or who are traveling.

Please provide the name and school building of your student(s), your contact information, and indicate your interest in having your child(ren) participate in the testing program.

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* Parent/Guardian Information

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* Student 1

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* Student 2

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* Student 3

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* Student 4

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* Student 5

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* I would like my child(ren) to participate in the voluntary ongoing weekly COVID-19 screening at ESBOCES (as above).

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