Nutley Summer Program Agreement
Parent/Guardian,

Please complete this screening form before the beginning of a 2021 Nutley summer program for EACH child participating in a district summer program.

Beginning on July 6th, the Nutley Public School's Summer Programs will operate with:

-Daily screening being done by parents without needing to complete a district form.
-Masks being optional (but encouraged) for staff and students
-Temperatures will not be taken upon entry to the school, and should be taken at home.
-Social Distancing will occur to the maximum extent possible in instructional spaces.

As always, if you child is sick, please keep them home from the summer program.

We look forward to working with you to keep our students and staff safe, while providing a strong support and enriching program.

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Child's First Name: *
Child's Last Name *
Program of Participation *
Parent/Guardian Email Address: *
Parent/Guardian Phone Number *
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