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Parental Consent for Online Learning
Parent's Primary Email Address
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* Indicates required question
Email
*
Your email
Student's First & Last Name
*
Your answer
Student's CT Learner's Permit Number
Your answer
Parent's First & Last Name
*
Your answer
I Authorize the HRDS to Provide My Child with Virtual Classroom Learning
*
Yes
No
Required
Last 4 Digits of Parent's Driver's License Number or Last 4 of their Social Security Number
*
Your answer
A copy of your responses will be emailed to the address you provided.
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