OPT-OUT of Special Education Services

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OPT-OUT of Special Education Services - School Closure 2020

During this challenging and unprecedented time, students and their families well-being are our foremost concern. If you would like to opt-out of some or all of your student's special education services please designate this below. At any time, you may reinstate these services by contacting your student's liaison directly.

STUDENT Last Name *

STUDENT First Name *

School my student attends: *

EEC

Cottage

East

Heights

Sharon Middle School

Sharon High School

We are opting out of the following services: Please check all that apply *

Elementary Learning Center/Resource Room services

SMS AC Lab

SHS AC Lab

Speech and Language (all grades)

Occupational Therapy (all grades)

Physical Therapy (all grades)

School Adjustment Counselor Services (all grades)

School Psychologist Services (all grades)

BCBA Services (all grades)

Required

I understand that by filling out this form, I am opting out of the services I designated above for my student during this time of school closure. *

YES

I understand that I can reinstate these services during the time of school closure by contacting my student's IEP liaison. *

YES

Required

I understand I am not opting out of IEP services once school resumes. *

Yes

Parent Name (First and Last) *

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