Lifelines Opt-Out Form

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Lifelines Opt-Out Form

Please complete the form indicating that you DO NOT want your child to participate in the 4-lesson Lifelines Suicide Prevention curriculum. During the lessons, your child will continue doing schoolwork in another location in the building. The deadline for completing this form is Monday, March 22nd at 3:00pm.

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Email *

Your email

Parent Name *

Your answer

Parent Phone Number *

Your answer

Student's Name *

Your answer

Student's Grade *

Your answer

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