Parent Consent: Media/Surveys/Clubs/Safe Schools Needs Assessment 23-24
Coweta County Schools System  
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Email *
Student's First Name *
Student's Last Name *
Student's Grade *
PUBLICITY INFORMATION RELEASE
Please type the last name of your child's homeroom teacher. *
The Coweta County School System ____ has my permission ____ does not have my permission to use my child’s photograph, honor roll information, student achievement or interview in a positive fashion to publicize news or information cerning the County County School System.  This may be in the form of television, radio, print, internet or other mass media formats. *
For Publicity Information Release--Parent/ Guardian- Please type your first and last name on the line below to represent your signature. *
SURVEYS
My child ____ has my permission ____does not have my permission to participate in surveys or questionnaires that are designed to collect data for school or program evaluations or improvement.  I understand that these surveys and questionnaires are anonymous. *
For Surveys--Parent/ Guardian- Please type your first and last name on the line below to represent your signature. *
Clubs offered at Bass Middle School:
The following clubs will be offered at Bass Middle School during the 2021-2022 school year:
Academic Bowl, Anime, Art/Photography, Battle of the Books, Beta Club, Board Games, Bulldog Ambassadors, Bulldog Media Helpers, Builder's Club, PBIS Student Club, Drama Club, Future Business Leaders of America, Fellowship of Christian Athletes, Future Georgia Educators, Gardening Club, Geography Bee, Golf Club, Math Club, Morning News Crew (BBTV), Partner's Club, Pet Lover's Club, Steam Club, Student Government, Yearbook Club, Oratorical Club
My child ____ has my permission ____does not have my permission to participate in school clubs during the 2022-2023 school year. *
Club participation: Parent/Guardian- Please type your first and last name on the line below to represent your signature. *
Safe and Drug Free Schools Needs Assessment (Grades 6-12)
This annual survey is for eighth grade students in the Coweta County School System and is confidential and anonymous. The responses pertain to student involvement in alcohol, tobacco, and other drugs and violent situations. The data collected will be used to identify critical areas of need for our Safe and Drug Free School efforts.
My child____has my permission ____does not have my permission to participate in the Safe and Drug Free Schools Needs Assessment Survey. *
Safe and Drug Free Schools Needs Assessment: Parent/Guardian- Please type your first and last name on the line below to represent your signature. *
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