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Protect Program OPT IN or OPT OUT
Please complete this form for each of your children in 4th and/ or 5th grade.
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* Indicates required question
Student Name (First and Last)
*
Your answer
Student's Grade
*
4th Grade
5th Grade
Teacher
*
Berry
Graydon
Haliburton
Nunez
Peters
Price
Quast
Does your child have permission to participate in the PROTECT program?
*
I DO give permission for my child to participate in the PROTECT human trafficking prevention program.
I DO NOT give permission for my child to participate in the PROTECT human trafficking prevention program.
Parent Signature (First and Last Name)
*
Your answer
Phone Number
*
Your answer
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