FCS COVID-19 Testing Consent Form
Dear Fleming Countians,

In order to keep schools open and to avoid inconveniencing parents & staff with the time and money necessary to find and pay for COVID testing, we are offering free COVID testing to all our students, faculty & staff.

Testing may be offered for those with symptoms, those exposed to possible COVID, or other scenarios where knowing their status will make them and their classmates safer. The test is comfortable, front-of-the-nose only, and results come back in less than an hour.

Testing will always be optional and can be refused by the student at any time, for any reason. We have linked to a consent form that allows a child to be tested only if they agree to.  

Please fill out the below form and confirm you have read and agreed to the consent linked at the bottom so we can remove barriers to providing this service to keep students/staff safe, schools open, and to save both the time and money to do so.  If you do not wish to complete this form, you are not required to. A signed written consent must also be completed.
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I am completing this for *
What school does your child attend/do you work? * *
Student/Staff First Name (legal name, no nicknames) * *
Student/Staff Last Name * *
Student's/Staff Member's Street Address *
City *
State *
Zip Code *
Home Phone Number *
Parent/Guardian Email (Required for all students)
Student/Staff Date of Birth (mm/dd/yyyy) * *
Student/Staff Email address *
Parent/Guardian Name
By Clicking the below box, I confirm that I have read the consent form and approve of its contents * *
Student State ID/ Staff employee number *
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