Parent Affirmation

Parent Name*

First Name

Last Name

Email*

Account Number

I have a child(ren) in the following division(s):*

Early Childhood Klurman Elementary Rohr Middle School Dr. Abe Chames High School Bais Medrash Zichron Ezra

Student Names/Grades:*

Barring any new symptoms or developments, my plan for the upcoming school year is:*

To send my children to YTCTE on campus on August 26 To utilize YTCTE's Distance Learning option until the Covid 19 situation improves To begin the school year with Distance Learning, and transition to on campus learning at some point

While this is not a commitment on your part, the Yeshiva needs this tentative information to properly service both Distance Learning students and students on campus.

At what point do you plan to begin on-campus learning? Please explain

For one's child(ren) to be permitted to attend Yeshiva on-campus, parents are required to sign the following statement before the beginning of the school year.

I (we) hereby attest that I (we) agree to the following and will:

1) Monitor our child(ren)’s health each morning and not send any child to Yeshiva (or onto the school bus) if showing any symptoms. (See below for symptoms.)

2) Inform the Yeshiva and not send the child to Yeshiva if the child or anyone in the family is symptomatic, is awaiting a test result, or tested positive for Covid-19. (Please email safety@ytcte.org and cc or call your child's division)

3) Inform the Yeshiva immediately of any case of exposure or possible exposure. (Please email safety@ytcte.org and cc or call your child's division)

4) Abide by the Yeshiva’s decisions to quarantine and send a child home. If called by the Yeshiva to pick up my child, I will arrange to have him/her picked up in a timely manner.

I (we) understand that there is a risk involved in our child(ren) attending Yeshiva during the Covid-19 pandemic and agree to hold the Yeshiva harmless in the event a child contracts Covid-19 as a result of attending Yeshiva.

If my child is showing any of the symptoms below they may not attend Yeshiva and the Yeshiva must be informed. (Please email safety@ytcte.org and cc or call your child's division)

Symptoms:

Fever (100.4 or higher)
Sore throat
A new, uncontrolled cough that causes shortness of breath or difficulty breathing. (For students with chronic allergic/asthmatic cough, a change in their cough baseline.)
Onset of severe headache
Vomiting
Diarrhea
Abdominal pain

These symptoms have been spelled out by our Medical Advisory Board.

Signature

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