* Required

The San Francisco Public Health Department requires each parent/legal guardian to sign the following acknowledgment before their student(s) may return to campus.

The collective effort and sacrifice of San Francisco residents staying at home limited the spread of COVID-19. But community transmission of COVID-19 within San Francisco continues, including transmission by individuals who are infected and contagious but have no symptoms. Infected persons are contagious 48 hours before developing symptoms (“pre-symptomatic”), and many are contagious without ever developing symptoms (“asymptomatic”). Pre-symptomatic and asymptomatic people are likely unaware that they have COVID-19.

Returning to in-person learning is an important step in the resumption of activities. However, the decision by the San Francisco Health Officer to allow in-person learning at elementary schools that follow the required safety rules does not mean that attending school is free of risk. Electing to have a child attend school in person could increase the risk of the child becoming infected with COVID-19. While the majority of children that become infected do well, there is still much more to learn about coronavirus in children. (See City and County of Department of Public Health San Francisco Health Officer Directive No. 2020- 14 3 including from recent reports of Multisystem Inflammatory Syndrome in Children (MIS-C).)

Each parent or guardian must determine for themselves if they are willing to take the risk of having their child attend school in person, including whether they need to take additional precautions to protect the health of their child and others in the household. They should particularly consider the risks to household members who are adults 60 years or older, or anyone who has an underlying medical condition. Parents and guardians may want to discuss these risks and their concerns with their pediatrician or other health care provider. More information about COVID-19, MIS-C, and those at higher risk for serious illness is available on the Centers for Disease Control and Prevention website at https://www.cdc.gov/coronavirus/2019-ncov/.

I understand the risks associated with having my child(ren) attend school in person, and I agree to assume the risks to my child(ren) and my household. I also agree to follow all safety requirements that SF Day imposes as a condition of enrolling my child(ren).


Please provide an email address where we can send a link to your current form.

Email Address :