JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Example Consent Form for Sample School
Hi [INSERT SCHOOL NAME] families/staff/students! Please select whether you consent to receive text messages this year.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Cell Phone (Please enter: ###-###-####)
*
Your answer
Email Address
*
Your answer
School Name
*
Your answer
From time to time, {School or District/Network Name} contacts {families, staff or students} by text message to gather feedback or share information. Do you consent to being contacted by text message?
*
Yes, I consent to receiving text messages from [INSERT SCHOOL/DISTRICT/NETWORK NAME].
No, I do not consent to receive text messages from [INSERT SCHOOL/DISTRICT/NETWORK NAME].
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Possip It.
Report Abuse
Forms
