SCOLIOSIS SCREENING PERMISSION FORM

Dear Parents,

Please fill out this permission form for each student you have in grades 5-9 before February 23rd, 2024.

Thank you very much for your cooperation.


Kepada Yth Orang tua murid,

Mohon mengisi formulir izin ini untuk setiap siswa/i kelas 5-9 yang anda miliki, dan diisi sebelum tanggal 

23 Februari 2024.

Terima kasih banyak atas kerja samanya.


Email *
Family Name
 *
Orang Tua
Students Name *
Nama Murid
Grade *
Kelas
I give permission for my child to participate in the Scoliosis and flat feet screening. *
Saya memberikan izin untuk anak saya berpatisipasi dalam pemeriksaan skoliosis dan kaki datar
A copy of your responses will be emailed to .
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