Brady the Dog Opt-Out Form

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Dear Families,

Lowell School has recently obtained a facility dog named Brady. He will be available for classroom visits, lunch groups, skill groups, morning meetings, reading centers and general greeting at the main entrance. All interactions with Brady are voluntary. If you wish for your child not to interact with Brady due to allergies, caution, or disinterest please use the opt out form below. Staff members may also use this form.

Please use a separate form for each individual.

Email *

Name of Student or Staff Member *

I wish my child or myself to opt out of interactions with Brady the facility dog. *

I do NOT want my child or myself involved in interactions with Brady

Grade Level *

Kindergarten

First Grade

Second Grade

Third Grade

Fourth Grade

Fifth Grade

Pre-Kindergarten

Student's Teacher

Any additional information you wish to share

Name and phone number if more information is needed *

Send me a copy of my responses.

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