Sign Up for Voluntary COVID Surveillance Testing, Week of March 1, 2021

Child 1

PLEASE NOTE: Parents of student-athletes currently participating in a sport do not need to complete the survey. Student-athletes who are currently participating in a sport will be automatically tested.

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* 1. Please provide your contact information

Parent First Name

Parent Last Name

Parent Email

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* 2. I would like to have my child surveillance tested for COVID next week. (Please provide information for each child including first name, last name, grade and campus.)

Child 1 First Name

Child 1 Last Name

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* 3. Grade Level

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* 4. On which campus is this child enrolled?

AAG

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* 5. I understand that surveillance testing is now voluntary and agree to pay the $25 per student fee that supports it.

Yes

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* 6. I would like to sign up another child

Yes

No, I am ready to submit the survey