RHS Mental Health Screener Opt Out
This form provides you the ability to opt-out your child(ren) from the RHS SEL December 2023 Screener.  This simple form asks for the student's name, grade, and the parent or guardian's signature. The form also states that the form is only to opt the student out of taking the survey and does not affect the student's participation in any other school activities or programs.
Student(s) Last Name
Student(s) First Name
Grade(s)
Checking this box serves as my digital signature, and opts my child out of participating in RHS's December SEL Screener.
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Parent/Caregiver Name
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