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Covid Vaccination Certification

This form is required to resume in-person lessons with a teacher who, at this time, will be teaching in-person lessons only to fully vaccinated students.

Please do not inquire with your teacher regarding the reason for this vaccination requirement, as each teacher’s student vaccination criteria is based on private family and/or medical considerations.

You will receive a confirmation email that must be presented upon arrival (printed or on a mobile device) to attend lessons at the school.

Please note the following policies for in-school lessons:
  • Masks fully covering the mouth and nose are required for all students at this time.
  • Temperatures of all persons who enter the school (students, parents, siblings) will be taken on arrival and must be 99.9 degrees or lower.
  • Students must stay home if they have any symptoms of illness or have been exposed to anyone with Covid-19 in the past 14 days.
  • Guests are limited to one parent/caregiver, who must wear a mask and observe the lesson through the glass window.

Certification of Vaccination

Student Name
Select all MTC locations this student currently attends(Required)
Parent Name (required for students under 18)
Consent(Required)