I,  First Name   Last Name   , am the parent or legal guardian of   First Name   Last Name. I have been informed of my son/daughter's enrollment into the ESL program at MCISD for the 2020-2021 school year. Due to Covid-19 guidelines, I understand that I am unable to go in person and sign, however I am giving verbal consent for permission into the program. For any situation, I am available at  ________________________.

Date   

Time of Contact with parent

_____________________

Mr. Rangel KWJH LPAC coordinator