Declination of Consent
If you object to the use of these virtual teaching tools, and you do NOT authorize our educators, service providers, related service providers and educational support staff to have contact with you and your child through these forms of synchronous learning platforms, please complete and submit this form. If you have multiple students, one form will need to be completed for each child.
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Student First Name *
Student Last Name *
Building *
Grade Level *
Choose an option: *
By typing your name below, you are signing this form electronically.
Parent Full Name *
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