MHS YES! Determined to Succeed Permission Slip
If you would like for your child to attend the Youth Equipped to Succeed program Determined to Succeed, please complete the form below and mark "YES". Written permission is required for students to receive sexual health information.
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Student Last Name *
Student First Name *
Student Grade *
Please click only one of the boxes below. Click 'YES' if you DO want your child to attend the Determined to Succeed Program, or click 'NO' if you DO NOT want your child to attend the program.
YES, I do want my child to attend/view the Determined to Succeed presentation.
NO, I do not want my child to attend/view the Determined to Succeed presentation.
Parent Signature *
Parent Email *
Parent Phone Number *
Date *
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YYYY
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