School Board Pre-Registration
In-person attendance at School Board meetings is allowed up to 25% capacity of the room.
The School Board will be holding its meetings at Brodniak Auditorium to allow for social distancing.
Attendees must wear face masks and socially distance.

Per the Open Public Meetings Act, the board will also provide a virtual attendance option. Zoom links are provided on the board's website: https://board.asd103.org/home

Please fill this out if you plan to attend the School Board meeting in person.

Your contact information is not subject to disclosure, will only be used for contact tracing, and will be destroyed after it is no longer needed.

Questions: Contact Torhil Ramsay, (360) 503-1211 or tramsay@asd103.org
Email address *
Board Meeting Date *
MM
/
DD
/
YYYY
Attending study session or evening meeting, or both?
Clear selection
Name (First, Middle, Last) *
Phone Number (in case of need for contact tracing) *
Mailing or residential address
COVID Attestation
If you answer "yes" to any of the questions below, please do not attend the meeting in person.
Have you had any of the following symptoms within the last day that are not caused by another condition: Fever (100.4 F) or Chills, Cough, Shortness of Breath, Difficulty Breathing, Fatigue, Muscle or Body Aches, Headache, Recent Loss of Taste or Smell, Sore Throat, Congestion or Runny Nose, Nausea, Vomiting or Diarrhea? *
Have you been in close contact with anyone with confirmed COVID-19? *
Have you had a positive COVID-19 test for active virus in the past 10 days, or are you awaiting results of a COVID-19 test? *
Within the past 14 days, has a public health or medical professional told you to self-monitor, self-isolate, or self-quarantine because of concerns about COVID-19 infection? *
Submit
Never submit passwords through Google Forms.
This form was created inside of Anacortes School District. Report Abuse