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COVID-19 Acknowledgement Form

O'Connor Families:

DVUSD strives to create a safe and supportive learning environment for its students and staff. In an effort to prevent the transmission of COVID-19, multiple mitigation strategies will be implemented. There is no guarantee, however, that DVUSD campuses will remain free of COVID-19.

The documents below are the COVID-19 Parent/Guardian Acknowledgement Forms (English & Spanish versions).

Parents will be required to sign and return the form to school before a student can attend in-person instruction.

Families will need to sign a COVID-19 Acknowledgement form for each child attending a DVUSD school.



Complete one of the options below:

1. Fill out the form electronically, scan and send to


2. Print, fill out the form and have your child bring to school on the first day of school. They can submit the completed, hard copy form to Robin Lucas (in the Conduct Office) or submit to their 2nd hour teacher.


COVID-19 Parent/Guardian Acknowledgement Form (English Version)

COVID-19 Parent/Guardian Acknowledgement Form (Spanish Vesion)