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Spring Ridge Counseling Consent Form
Please complete this form if you would like your child to be able to connect with the school psychologist, school counselor, or school support teacher. Thank you!
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What is your name?
Your answer
What is your child's name?
Your answer
Have you read and understood the letter from FCPS and its contents?
https://docs.google.com/document/d/11VN_wAjpy4We-t09gZa0ml49MrDrGB4icwlEhKlUUcs/edit?usp=sharing
Yes
No
Other:
Clear selection
Do you give consent for the school psychologist, school counselor, or school support teacher to connect with your child via telephone?
Yes
No
Other:
Clear selection
Do you give consent for the school psychologist, school counselor, or school support teacher to connect with your child via live-video?
Yes
No
Other:
Clear selection
Do you have any additional questions/concerns/feedback?
Your answer
Thank you!!
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