WPS Test Kit Registration
Please Note:
Surveillance Testing
This form is to be completed once weekly for each staff or student per test. Please remember to collect your saliva sample on the morning that you will return it to school and don't forget to drop it off.

Pooled results are provided to the school in 24-48 hours. You will only be contacted if a sample in your pool pairing tests positive or if there is a problem with your sample.
Staff/Student First Name (Legal name please- no nicknames) *
Last Name (Legal name please- no nicknames) *
Email Address of staff or Parent /Guardian of student *
In the event of a positive pool, what is the best phone number to contact you (staff) or your parent (student)? *
Consent Agreement *
Please click here and carefully read and sign the following Informed Consent: https://docs.google.com/document/d/1dZKJPlF6qigTr3Y99f5buSXF8VjyRNBCbiflEfOtbFc/preview
Are you registering for a staff member or student? *
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