Mill Neck Manor School for the Deaf Pre K-12 Pre-Screening Attestation

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Mill Neck Manor School for the Deaf Pre K-12 Pre-Screening Attestation

Before your child arrives on campus, please fill out this form based on your child's health TODAY

By submitting this Attestation & Agreement, I attest that I am responding to this form based on my child's health TODAY. You will be providing your electronic signature at the end of this form. Mill Neck School for the Deaf will retain all of the information provided for our records.

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Today's date *

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What is your CHILD'S name? *

Your answer

What is your name? *

Your answer

What is your telephone number? *

Your answer

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