By completing and submitting this form, I confirm that I am the appropriate parent/guardian to provide consent and that I authorize the administration of a COVID-19 test on my student. I am allowing testing for the 2022-23 school year, after an assessment by the school nurse and a phone call home before the test is completed. I understand that authorizing a COVID-19 test for my student is optional and I may choose to have the student stay home if experiencing symptoms of Covid-19.
While we realize precautions will be taken for the safety of students, please understand that neither the test administrator nor the Swink School District, nor any of its trustees, officers, employees, or organization sponsors are liable for any accident or injuries that may occur to your child or yourself (if student age 18 or older), as a result of agreeing to the test.
By signing below, I attest that:
A. I authorize the school system to conduct collection and testing of my child or me (if student age 18 or older) for COVID-19 by nasal swab.
B. self-isolate and also continue wearing a mask or face covering as directed in an effort to avoid infecting others.
C. I understand the school system is not acting as my child's medical provider, this testing does not replace treatment by my child's medical provider, and I assume complete and full responsibility to take appropriate action with regards to my child's test results. I agree I will seek medical advice, care and treatment from my child's medical provider if I have questions or concerns, or if their condition worsens.
D. I understand that, as with any medical test, there is the potential for a false positive or false negative COVID-19 test result.
l, the undersigned, have been informed about the test purpose, procedures, possible benefits and risks, and I have received a copy of this Informed Consent. I have been given the opportunity to ask questions before I sign, and I have been told that I can ask additional questions at any time. I voluntarily agree to this testing for COVID-19.