Planet Homeschool COVID-19 Vaccination Affidavit and Assumption of Risk
In order to be onsite while PHS is in session, all individuals must be vaccinated against COVID-19. (Exceptions will be made to accommodate health conditions that preclude vaccination.)

Planet Homeschool’s COVID-19 Policies can be found at

A confirmation that you've completed this form will be sent to your email address. To help volunteers connect your form to your membership, please use the same email address that you entered as your family's primary email in your Family Profile.

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Email *
Family Member #1
Full Name *
Birthdate *
This form shall serve as my affidavit that: *
Add additional Family Members *
All families should have a minimum of 2 family members: at least 1 student and at least 1 adult volunteer.
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