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.
Today's date *
MM
/
DD
/
YYYY
What is your child's first name? *
What is your child's last name? *
What is your name? *
Next
Never submit passwords through Google Forms.
This form was created inside of Mill Neck Manor School for the Deaf. Report Abuse