SBSD Rapid Antigen Test Kit Request Form for Families/Caregivers of students at GCS.
Dear GCS Families,
Thank you for taking the time to fill out this form with all of the necessary information. The kit will be put in your student's backpack, unless you would like to pick it up at Orchard (contact the nurse for pick-up). Please fill out a separate form for each student.
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Last Name *
Student's First Name *
Grade *
Teacher (K-5)
Please type in the classroom teacher's last name.
Student exposure *
Test Kit Request *
Parent / Caregiver Name *
Who is making this request for the student? (First and Last name please)
Parent / Caregiver Email *
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