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COVID-19 Test Request/ Solicitud de Prueba de Covid-19
Please complete this form to request a COVID-19 test kit./ Complete este formulario para solicitar un kit de prueba de COVID-19.
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Email
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Your email
Parent/Guardian First and Last Name: / Nombre y Apellido del Padre/Encargado:
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Your answer
Child's First and Last Name:/ Nombre y apellidos del niño:
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Your answer
School:/ Escuela:
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Washington Rose
Ulysses Byas
Centennial
Middle School
High School
Teacher's Name:/ Nombre de la/el maestra (o)
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Your answer
Grade:/Grado:
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Your answer
A copy of your responses will be emailed to the address you provided.
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