Mask Opt-Out
Please fill out the sections below.  If you have more than one child that attends Imagine Broward, please submit one per child.   This form is to communicate that you are not requiring your child to wear a mask on school property.
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Student First Name *
Student Last Name *
Student Grade Level *
Student Homeroom Teacher *
I wish to have my child opt-out of wearing a mask. *
Name of Parent/Guardian filling out this form. *
Parent/Guardian Email Address *
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