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SOS Opt-Out Form
By filling out the below form you are indicating that you DO NOT want your child to participate in the Signs of Suicide Program being delivered in Science
classes during the weeks of January 29th and February 5th.
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* Indicates required question
Name of Student
*
Your answer
Name of Parent/Guardian
*
Your answer
I do not want my child to participate in the SOS lesson which will take place in my child’s Science class.
*
Opt-OUT (I do NOT give permission)
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