Auburn High School COVID-19 Testing Consent Form
Asymptomatic students, regardless of vaccination status, who have been in close contact with someone in the school setting who has tested positive for COVID-19 can now be tested to remain in school.  This is in place of having to potentially quarantine from school for 5 days for each exposure.  With the appropriate parental/guardian consent, District nursing staff will administer rapid antigen COVID-19 tests to your child to determine the presence/absence of the coronavirus.  Depending on the known date of exposure, the tests will be administered every other day up to three times.  There is no cost for these tests.  Each negative test will allow your child to remain in school and avoid missing in-person instruction. Please note, if you choose not to allow your child to be tested after a known COVID-19 exposure, and your child is not vaccinated, your child will not be able to attend school for 5 days.
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Name of Person Completing This Consent Form *
Email of Parent/Guardian Completing Survey *
Phone Number of Parent/Guardian Completing Survey *
Relationship of Person Completing This Consent Form to the Student in Question *
Student Last Name *
Student First Name *
Student Date of Birth *
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By selecting the radio button below, I attest that: I have signed this form freely and voluntarily, and I am legally authorized to make decisions for the child named above. I consent that the school may notify my child of the test results. I consent for my child to be tested for COVID-19 when necessary and understand that my child may be tested multiple times. I consent for my child to be tested by school staff, contracted healthcare personnel, Local Health Department staff, and/or other trained personnel as directed by the school. I understand that this consent form will be valid through August 31, 2022, unless I notify the school administrator from my child’s school in writing that I revoke my consent. I understand that test results may be shared with the school, county, and other local, state, and federal public health authorities as permitted by law. I understand that if I am a student age 18 or older, or may otherwise legally consent for my own health care, references to “my child” refer to me and I may sign this form on my own behalf. *
Today's Date *
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