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Manor AST/Title 1 Reading Support 2021-2022
Parent Consent Form
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* Indicates required question
Email
*
Your email
Type your child's first and last name here:
*
Your answer
Grade Level:
*
7th
8th
I have received and read the letter informing me of my child's selection to receive AST/Title 1 reading services.
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Yes
No
I understand that my child qualifies for AST/Title 1 services. By choosing the first circle, I indicate that I give my consent.
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Yes, I understand and give my consent.
Yes, I understand, but would like to decline these services.
I would like more information. Please call/email me.
Parent "Signature" (print first and last name please)
*
Your answer
Parents' preferred method of contact
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telephone
email
Other:
Parents' phone contact number
*
Your answer
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