PLAY Card Opt-Out Form

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Please complete this form for each child you would like to have marked as "opted-out" of the Thomasville City Schools PLAY Card Program.

电子邮件地址 *

Date of Request *

年

月

日

Parent/Guardian First Name *

Parent/Guardian Last Name *

If needed, how may we contact you? *

By checking this box, you acknowledge that your child will NOT have access to the PLAY Card with Thomas County Public Library System. *

I DO NOT want my child to have access to the PLAY card.

必填

Student First Name *

Student Last Name *

Student's Date Of Birth *

年

月

日

What school does the student attend? *

Grade level for this student *

提交

清除表单内容

切勿通过 Google 表单提交密码。

此表单是在 Thomasville City Schools 内部创建的。举报滥用行为