Covid-19 Testing Consent Form

As we return to school, we need to be aware of the possibility of the spread of COVID-19 within our community. In order to help keep our community safe, we are sending out this consent form for COVID-19 testing. Please save the form to your phone, computer, or tablet; fill it out, save it, and email it back to one of the following email addresses:

millari@philasd.org
bkoch@building21.org
david@b-21.org

If for any reason you are unable to complete this form, please reply to this email or reach out to david@b-21.org and we will send you an alternative method for completing the form.

Please download the form here.