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Student Face Covering Exemption Information

Dear Parents,

Due to the COVID-19 pandemic and in compliance with the State of Utah Public Health Order, Jordan School District will require students to wear face coverings while at school. Masks serve as a simple barrier to help prevent respiratory droplets from traveling into the air and onto other people when the person wearing the mask coughs, sneezes, talks, or raises their voice.

Jordan School District recognizes that some students may have a medical condition, mental health condition, or disability that prevents wearing a face covering.

In order to receive an exemption from the State’s face covering requirements, the form found at the link below must be completed and returned to the school your child attends prior to your student attending school without a face covering.

Please have your primary care provider complete the Medical Certification by doing one of the following:

  1. Complete and sign the Medical Certification found at the link below.


  1. Attach an email or note from the primary care provider outlining the same information as indicated below to this completed form.