E-mail*Please Verify The Following Information*I verify that my child and as well as siblings and parents are healthy with no symptoms such as fever, dry cough, loss of taste and smell.I verify that my child has not been in contact with anyone that is under investigation or tested positive of Covid-19.I verify that my child or immediate family member has not been on a cruise or traveled to areas with high Covid-19 outbreaks in the last 14 days.I agree to sign this form electronically (If declined, you will need to fill out a paper form)*YesNoYour Electronic Signiture*First NameLast NameSubmit Print FormShould be Empty: This page uses TLS encryption to keep your data secure.
This page uses TLS encryption to keep your data secure.
This page uses TLS encryption to keep your data secure.
