Mask Opt-Out Form

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

Mask Opt-Out Form

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.

Email *

Student's Name *

Student's Birthday *

YYYY

Parent's Name *

Parent's Email *

Parent's Phone Number *

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

Yes

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