Student COVID-19 Self Certification Form for November – Due by November 1st
October 28, 2021

This is the November version of the self-certification form and needs to be filled out by a parent or guardian before November 1st.  Instead of the daily form that was used last year, we are filling out these forms monthly throughout the school year.  A form needs to be filled out for each student, and please make sure to select the form for the correct school.

Worth Elementary Self-Certification Form for November

Worthwoods Elementary Self-Certification Form for November

Worth Junior High Self-Certification Form for November