Please review all information carefully, complete any fields that are blank, and update anything that has changed. It is not necessary to complete the form in one sitting--if you need to pause and continue another time, scroll to the bottom of the form and click "Save." You will be sent an email with a link to continue the form, and all the responses you have entered so far will be saved.
Parents of participants in Agents of Change may give their child permission to sign themselves into and out of the program. If you choose to give this permission, you understand and agree that:
Inhalers and any other medications that students will or may need to use while they are in program must be provided to Peaslee before the first day of the program.
Epipens and any other medications that students will or may need to use while they are in program must be provided to Peaslee before the first day of the program.
Program updates and reminders are sent through Remind and can be received as text messages or emails. Note that we will always call any time a full conversation is necessary. Please take a moment now to sign up by texting @8g897c to 81010, or following this link: https://www.remind.com/join/8g897c.