BOCES Student COVID-19 Testing Consent Form
The New York State Department of Health (NYSDOH) has released new guidelines for schools with regard to COVID-19 micro-clusters. If a community is designated as a "yellow zone" by NYS, testing for COVID-19 would become mandatory in order for the schools in that community to remain open for on-site, in-person learning and the school district would be required to conduct testing on at least 20% of the school population over a two-week period through a random selection. Should the district be in a designated orange or red zone increased testing is required.

BOCES is making the necessary plans to prepare for a zone designation, in the event that our community receives such a designation. To prepare for the very real possibility of having to test students, we are requesting that all parents, whose children are participating in in-person learning, complete this required consent form. The test to be utilized will be a rapid test utilizing a lower nasal swab.

By completing the consent form now, BOCES will be prepared to administer testing should it become necessary. To that end, please complete this form, once for each child individually, as soon as possible.
Parent/Guardian First Name *
Parent/Guardian Last Name *
Parent/Guardian Phone Number *
Parent's Email Address *
Preferred Method of Contact *
Student's First Name *
Student's Last Name *
What is your School District of Residence *
Student's Grade *
Do you consent to allow the Southern Westchester BOCES to test your child, the student named in this form, for COVID-19 in the event that the Southern Westchester BOCES receives a COVID-19 zone designation? *
Electronic Signature - type your name below *
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