WCCUSD Contract & Waiver
Prior to in-person instruction please read and sign both the Hold Harmless, Release and Wavier of Liability and the Parent / Student Contract for In Person Instruction.
Name of student *
Name of parent *
School *
Grade *
Teacher *
Date *
MM
/
DD
/
YYYY
Now that Contra Costa County is in the Orange Tier, COVID testing for students is OPTIONAL. Testers will be available at sites the first week of in person return. Would you like your child COVID tested? *
Health Insurance
Medical Number:
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