PERMISSION TO PARTICIPATE IN PROGRAM & DATA COLLECTION
Please review and complete the information below.
Sign in to Google to save your progress. Learn more
Email *
Date *
MM
/
DD
/
YYYY
Student First Name *
Student Last Name *
Student Grade Level
Clear selection
School Site *
Required
Please check the appropriate statement below. *
Required
By typing my name below, I am confirming that I have read the below PPRA and FERPA statements and have been informed of my rights under PPRA and FERPA. *
Captionless Image
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of East Baton Rouge Parish Schools. Report Abuse