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Adult Education Face Covering Opt-Out Form
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I am providing notice that my student will be opting out of district policies that require masks or face-coverings. *Untitled Question
*
Opt out
Required
Student Name
*
Your answer
Student ID
*
Your answer
Student Date of Birth
*
MM
/
DD
/
YYYY
Program Site
*
Boys & Girls Club
Brooksville
Central High School
Nature Coast Technical High School
People Helping People
Pristine Baptist Church
Program
*
SunTech
GED
ESOL
Adult High School
Community Education
Student Phone Number
*
Your answer
Student Email
*
Your answer
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