Parent Consent for Hand Sanitizer Use
Please provide information on your child(ren) regarding any restrictions for the use of hand sanitizer. Please complete this form for each child enrolled in the district.
* Required
Hand Sanitizer Use in Schools
Dear Parent/Guardian,
In light of the ongoing Global Pandemic, in an effort to prevent the spread of germs, Montgomery Public Schools will be utilizing hand sanitizer district wide regularly throughout the day. Realizing some students are not able to use hand sanitizer because of a medical concern, please carefully read and respond below.
NOTE: Complete this form for each child enrolled in Montgomery Public Schools. Thanks for your feed back.
Please indicate below:
Student Last Name
*
Your answer
Student First Name
*
Your answer
Please select school
*
Choose
Baldwin
Bear
Bellingrath
Blount
BTW
Brewbaker Primary
Brewbaker Intermediate
Brewbaker Middle
Brewbaker Tech
Capitol Heights
Carr Middle
Carver Elem
Carver High
Catoma
Children's Center
Chisholm
Crump
Dalraida
Dannelly
Davis
Dozier
Dunbar Ramer
Fitzpatrick
Flowers
Floyd Middle
Forest Avenue
Garrett
Goodwyn
Halcyon
Highland Avenue
Highland Gardens
Jeff Davis
Johnson
King
Lanier
Lee
LAMP
MacMillan
McIntyre Comprehensive Academy
McKee Middle
McKee Pre-K
MPACT
Morningview
Morris
Nixon
Park Crossing High School
Pintlala
Southlawn Elem
Southlawn Middle
Vaughn Rd
Wares Ferry
Wilson
Grade Level
*
Choose
Pre-K
K
1
2
3
4
5
6
7
8
9
10
11
12
My child, as needed throughout the day:
*
YES, may use hand sanitizer without restriction
NO, MAY NOT use hand sanitizer without restriction
If you checked "No", please explain. If you checked "Yes", type NA
*
Your answer
Thanks in advance for your cooperation and feedback.
Dorothy Rogers, RN
District Nursing Coordinator
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