Counseling Walk Permission

Counseling Services Participation Form
2021-2022

As part of the counseling services offered at Gladys H. Oberle, our counselors, Ms. Dillow and Mrs. Love, may take our students on therapeutic walks to provide counseling interventions. Many of our students will request these walks when feeling overwhelmed or frustrated.
Student Name
Please indicate a preference for your child:

I give permission for my student to take therapeutic walks when needed or requested. I do not give permission for my student to take therapeutic walks when needed or requested.
Parent Signature

Clear
Date

Month Day Year
Date
Should be Empty: