School Physical Contact Consent Form
School Physical Contact Consent Form
Parent or Guardian Name
*
First Name
Last Name
Student Name
*
First Name
Last Name
Your Relationship to the Student
*
Please Select
Parent
Guardian
Other authorized caregiver
Parent or Guardian Email
*
example@example.com
Parent or Guardian Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
I give permission for appropriate school-related physical contact with the student
*
Yes, I give permission
No, I do not give permission
School contexts where permission applies
*
Routine guidance or assistance during school activities
Safety-related assistance
School events and supervised activities
Other school-related context
Please describe any limits or exceptions to the permission you selected
Parent or Guardian Signature
*
Submit Consent
Submit Consent
Should be Empty: