Student's Name * First Name Last Name Guardian's (Your) Name * First Name Last Name Indicate the mask exemption reason * My student is fully vaccinated for COVID-19 My student fully recovered from a positive test for COVID-19 I am the legal guardian for the above named student and certify that the information included is true and accurate. I understand that honesty is a core principle at UYC and if this information is found to be inaccurate, my student may be suspended. * I agree I agree Thank you!
