It Happened at School: Parent/Guardian Report Form
Parents and guardians are on the front lines of the sexual and gender indoctrination that is being systematically rolled out in schools around the country . Please make use of this report form to tell the Arlington Parent Coalition (APC) what you've witnessed at school that other parents and guardians should know about. APC plans to publish on its website (www.arlingtonparentcoa.wixsite.com/arlingtonparentcoa) selected events which underscore what is happening in schools. Responses are anonymous, but if APC posts on its website a quote from your report, we would like to list the school district and state in which the incident took place, as well as the grade of the child involved. If you would prefer that these identifiers not be listed, please indicate so in Question #9. Thank you for your time and for all you're doing to help keep children safe in public school.
Sign in to Google to save your progress. Learn more
1. Are you a parent or guardian of a student in Arlington (VA) Public Schools, or elsewhere?
Clear selection
2. Please list the school district and state where your child attends school. (E.g., Marin County Schools, California)
3. Please indicate your school-aged children's present grade levels. Select all that apply.
4. Have you filled out a school opt-out form for family life education (sex ed) and/or a Universal Opt-Out Form indicating that your child should receive no sexuality or gender training in any class at any time? (Check all that apply.)
5. Please use this space to describe the first incident you would like to report.
6. Please use this space to describe the second incident you would like to report.
7. Please use this space to describe the third incident you would like to report. (If you have more than three incidents to report, please send descriptions of other incidents to the Arlington Parent Coalition at arlingtonparentcoalition@gmail.com. Thank you.)
8. If the Arlington Parent Coalition has further questions about your report may we contact you directly? If so, please provide contact information in the form of an email address and/or phone number. Your contact information will never be shared or used for any purpose except that the Arlington Parent Coalition would like to request more information about your report.
9. If the Arlington Parent Coalition chooses to publish on our website one or more of your comments, we would like to list the school district, state, and grade level at which the incident occurred. If you would prefer that we not list one or more of these, please indicate so below. (Select all that apply.)
10. Is there anything else you would like to tell the Arlington Parent Coalition? If so, please use this space to do so. If not, please accept our appreciation for your time and efforts as you submit your report.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms