MNTHS PARENT CONSENT FORM FOR SCHOOL COUNSELOR PHONE MEETINGS

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Completion of this form serves as your consent for your child to speak with his/her MANOR ISD School Counselor over the phone during the current school closing.
This means that you are virtually signing this form, and are consenting to your child speaking with his/her school counselor by phone through the end of the 2020-21 school year.
If you no longer want your child to have permission to speak with the school counselor by phone, you will need to email the school counselor and notify them of the end date for this consent form. If you have any questions or concerns, please email New Tech Counselors, Ms. Whitney or Ms. Mumphord with any updates.
Counselor will be making phone calls between the hours of 9am-5pm.
Counselors will be calling from a telephone number that is monitored by Google and is not MISD.
Important: This email is not monitored 24/7 and should not be used in case of an emergency. If you, or someone you know, is experiencing a mental health emergency please call 911.
Thank you, Manor New Tech High School Guidance Department.

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E-mail *

FULL NAME OF 1st PARENT/GUARDIAN(First and Last)

FULL NAME OF 2nd PARENT/GUARDIAN(First and Last)

EMAIL ADDRESS

TELEPHONE NUMBER(contact number to call your scholar for a scheduled Appointment)

STUDENTS FULL NAME(First and Last)

GRADE LEVEL

9TH

10th

11th

12th

MANOR ISD Student ID Number(lunch number)

Who is your Student's Counselor?

(A-O) MS. MUMPHORD (Appt hours-10am-11:00am-M-F)

(N-Z) MRS. WHITNEY, Lead Counselor (Appt hours-9am-10am-M-F)

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By typing my full name into this document, I am consenting for my child to speak with his/her School Counselor over the phone from today's date through the end of the school year. I have read and understand the role of the School Counselor and the limits of confidentiality. I will email the School Counselor if I have questions or concerns regarding my child's phone conversation.

Today's Date

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