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Click ‘Get Form’ to open it in the editor.
Begin by entering your child's name, grade, and teacher in the designated fields. This information is essential for identifying your student within the school system.
Next, provide your name as the legal parent/guardian along with your child's name again in the specified area. This ensures that consent is clearly linked to the correct student.
Review the terms of consent carefully. You will find two options regarding permission for counseling services. Check the box that aligns with your decision—either granting permission or declining services at this time.
Finally, sign and date the form in the provided signature field. Include your daytime phone number and email address for any necessary follow-up communication.
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