JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Rainbows Group Permission Form
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Parent Name
*
Your answer
Child's Name
*
Your answer
Child's Teacher
*
Your answer
By Checking this box, I give permission for my child to participate in a Rainbows group, one time a week, at a time agreed upon by my child's teacher. (Note: Student's will NOT be pulled during a core subject or a special).
*
Yes, I give my child permission to participate.
I would like one of the social workers to contact me with more information about Rainbows before I give permission
Please tell us a little about why you would like to have your child participate in Rainbows.
*
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Lyons Elementary School District 103.
Report Abuse
Forms
