Restraint and Seclusion 2023-24
Please listen/watch the following videos and check each box associated with them. Please complete the questions after watching the video (s) and sign below.  This form must be completed by a single person (you can can not sign multiple names).  If you watched the videos in a group setting you still must fill out a separate form for each person for record keeping purposes.
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Please listen to the following video:
Please watch the following video:
Please watch the following video:
Please watch the following video:
Please watch the following video:
Please watch the following video:
Please watch the following video:
School /Organization *
First Name *
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Last Name *
Please make sure you do not put a space before or after your name.
I hereby certify that I have watched and understand all of the videos in this form.
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