Health and Safety Commitment
After review of the Updated JANUARY 2021 Roseland School District Student Health and Safety Commitment for the 2020-2021 School Year, please complete this form as acknowledgement of receipt. By doing so you commit to adhering to our health and safety guidelines, communicate potential exposure to the School Nurse, and quarantine when deemed necessary.

Thank you and stay safe!
Email address *
I acknowledge review and acceptance of the Health and Safety Guidelines. *
Students - please list names (grade level) below *
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