COVID Testing at Addison 21-22

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* Please complete this Google form AFTER you have completed the ONLINE Predicine registration form if you are interested in having your Addison student participate in on-site testing.
* Complete ONE Google form for EACH Addison child in your household EACH WEEK you would like your child tested, or mark "Yes" on the first question for your child to be automatically on the list.

Would you like your child to have a COVID 19 test at Addison weekly? By marking YES below, you do not need to fill out the Google form every week and your child will automatically be on the list to be tested weekly. By marking NO, you will need to fill out the form every week that you want your child to be tested.

Yes, I want my child automatically tested every week and will fill out the Google form this ONE time.

No, I will complete the form every week that I want my child tested.

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Have you completed the ONLINE Predicine registration form? *

No, I have not completed any ONLINE Predicine registration form, but will do so now before I continue completing this Google form.

No, I have not completed an ONLINE Predicine registration form and I need help. I will call Addison front office for assistance.

Yes, I have already completed the ONLINE Predicine registration form ONCE and my child is ready to participate in this week's on-site testing.

Child's Last Name, First Name (ex. Boyce, Amanda) *

What is your child's birthdate? MM-DD-YYYY

Grade Level *

Kinder

1st

2nd

3rd

4th

5th

Child's Teacher *

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