Suicide Prevention Opt-Out
Please only fill out this form if you DO NOT wish for your child to participate in the Suicide Prevention Program at Camp Ernst Middle School.
Email *
Student First AND Last Name *
Student Team (or 1st Core Teacher if 8th Grade) *
Parent/Guardian First AND Last Name *
I DO NOT give permission for my child to participate in Suicide Prevention Program being presented at Camp Ernst Middle School. I understand they will be in a separate room for the duration of the program. Please type your name in the box below, agreeing to this statement. *
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