’Play it safe’ Opt-In Form

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Dear Parent/Guardian,

Williamson County Children’s Advocacy Center will begin teaching ’Play it safe’ lessons to K-5th grade students at Meridian World School.

Meridian World School has an “opt-in” policy where the parent/guardian MUST give permission to allow their child to participate in the program. Please indicate below if you do or do not agree for your child to take part in the program.

Please fill out this form by March 28, 2024.

If you have any questions about the program or its implementation in your school, you may contact our counselors:

Staci Louth (Grades K, 2, 4): staci.louth@mwschool.org, (512) 660-5230 x 173

Nicole Alvarado (Grades 1, 3, 5): nicole.alvarado@mwschool.org

Sincerely,

Meridian World School

To learn more about Williamson County Children's Advocacy Center, please visit www.wilcocac.org.

To learn more about Play it Safe, please visit www.playitsafe.org

Email *

Record my email address with my response

Please choose one of the following options for your Meridian Student (Note: A from must be filled out for each child that you have attending Meridian in grades K-5) *

I give permission for my child to participate in the ‘Play it Safe’ program.

I do not give permission for my child to participate in the ‘Play it Safe’ program.

First name of Meridian student *

Last name of Meridian student
*

Grade level of Meridian student named above *

Student's Teacher

Send me a copy of my responses.

Submit

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