Manor  AST/Title 1 Reading Support 2021-2022
Parent Consent Form
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Email *
Type your child's first and last name here: *
Grade Level: *
I have received and read the letter informing me of my child's selection to receive AST/Title 1 reading services. *
I understand that my child qualifies for AST/Title 1 services. By choosing the first circle, I indicate that I give my consent. *
Parent "Signature" (print first and last name please) *
Parents' preferred method of contact *
Parents' phone contact number *
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