7th Grade Healthful Living Forms

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Please fill out the information below to acknowledge that your student has received the necessary forms for the Healthful Living class.

Student First Name: *

Student Last Name: *

Track: *

Track 1

Track 2

Track 3

Track 4

Student's Healthful Living Teacher *

Greene

McHugh

Tyson

Veale

Zehr

Have you read/received (click link below) the Holly Grove Middle School Healthful Living handbook? (https://docs.google.com/document/d/1UsukwYnI_PgIkd2uh-8ILY01Xm2-QimXItrh3QU2xjQ/edit?usp=sharing) *

Yes, I have read the handbook and understand the information/rules given for the class

No (See your Healthful Living Teacher)

Have you read/received (click link below) the Reproductive Health and Safety permission form? (https://docs.google.com/document/d/1-wc7nq_5kTe7dcUyoG1ISi14oq6pPMSoJBLrokkC1Jk/edit?usp=sharing) *

Yes, I have read the Reproductive Health and Safety permission form and I would like my student to participate in the class.

I do not want my child to participate in the Reproductive Health and Safety class. I understand that by checking this box, it will suffice as my written response opting my student out.

Have you read/received the Signs of Suicide (click link below) permission form? (https://drive.google.com/file/d/1uWqgnz68kxXPpVlimXMRkbNLDRpbu5yr/view?usp=sharing) *

Yes, I have read the Signs of Suicide permission form and I would like my student to participate in the lesson.

I do not want my child to participate in the Signs of Suicide lesson. I understand that by checking this box, it will suffice as my written response opting my student out.

Have you read/received the Human Trafficking (click link below) permission form? (https://drive.google.com/file/d/1ef1e0Z6DKbfuWtrmBamfiwzPgZrJ_WY7/view?usp=sharing) *

Yes, I have read the Human Trafficking permission form and I would like my student to participate in the lesson.

I do not want my child to participate in the Human Trafficking lesson. I understand that by checking this box, it will suffice as my written response opting my student out.

Are there any medical or physical concerns you would like the Healthful Living teacher to know about your child? This includes but is not limited to allergies, asthma, or any physical disabilities that might limit them in the Physical Education classroom. (If not, please leave blank)

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