Parental Notification & Permission Form
Review the proposed instruction materials, choose authorization or exemption, and sign to confirm your decision.
As a parent, you have the right to review the proposed curriculum materials in a timely manner before instruction. You may grant permission for your student to participate, or exempt your student from attendance for the class period(s) where this instruction is presented and discussed.
School
*
Please Select
Antimony Elementary
Boulder Elementary
Bryce Valley Elementary
Bryce Valley High
Escalante Elementary
Escalante High
Panguitch Elementary
Panguitch Middle
Panguitch High
Garfield Online
Course or program name and grade level (to be completed by the school)
*
Brief explanation of the topics and materials to be presented (to be completed by the school)
*
Time, place, and contact person for reviewing the identified curriculum materials (to be completed by the school)
*
Student name
*
First Name
Last Name
Parent/guardian decision
*
I authorize my student to participate in the identified instruction
I exempt my student from attendance during the identified instruction
Parent/guardian name
*
First Name
Last Name
Parent/guardian signature
*
Date
*
-
Month
-
Day
Year
Date
Completed forms are maintained in the student's educational records.
Submit
Submit
Should be Empty: