MASK OPT OUT FORM - Marion County High

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

MUST BE SIGNED AND SUBMITTED BY PARENT. STUDENT MUST WEAR MASK UNTIL IT IS SUBMITTED TO THE SCHOOL The actions taken by the Marion County Board of Education established a mask requirement for students, employees, and visitors while inside buildings beginning Monday, August 23.
Parents (or students 18 or older) can opt-out of this requirement by filling out the information below. This must be filled out for each student. If you would like a paper copy of this form, please contact your school.

By submitting this form you are vowing that you are the student’s legal guarding and opting-out of the Marion County Board of Education mask requirement. You will be contacted by the school to confirm mask opt-out status.

**THIS FORM IS FOR MCHS STUDENTS ONLY! If you have students at another school in our system, you will need to complete their form.

Email *

Student Name *

Student Date of Birth *

YYYY

Parent's Name *

Parent's phone number *

Parent's Email *

Send me a copy of my responses.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of Marion County Schools. Report Abuse

Forms