York/Adams Drug & Alcohol Prevention Program Participation Consent/Release Form
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- Clifton French
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1 prevention providers permission for my daughter/son to participate in drug and alcohol prevention activities sponsored within the district. These activities will include model programs such as: Olweus Bullying Prevention Program, Protecting You Protecting Me, Strengthening Families Program, Too Good For Drugs, and Families And Schools Together (FAST), Girls Circle.
2 prevention provider Cornerstone Counseling & Education Services permission for my daughter/son to participate in drug and alcohol prevention activities sponsored within the district. These activities will include model programs such as: Olweus Bullying Prevention Program, Protecting You Protecting Me, Strengthening Families Program, Too Good For Drugs, and Families And Schools Together (FAST).
3 prevention provider Crossroad Counseling & Education Services permission for my daughter/son to participate in drug and alcohol prevention activities sponsored within the district. These activities will include model programs such as: Olweus Bullying Prevention Program, Protecting You Protecting Me, Strengthening Families Program, Too Good For Drugs, and Families And Schools Together (FAST).
4 prevention provider Memorial Behavioral Health permission for my daughter/son to participate in drug and alcohol prevention activities sponsored within the district. These activities will include model programs such as: Olweus Bullying Prevention Program, Protecting You Protecting Me, Strengthening Families Program, Too Good For Drugs, and Families And Schools Together (FAST).
5 prevention provider Family-Child Resources, Inc. permission for my daughter/son to participate in drug and alcohol prevention activities sponsored within the district. These activities will include model programs such as: Olweus Bullying Prevention Program, Protecting You Protecting Me, Strengthening Families Program, Too Good For Drugs, and Families And Schools Together (FAST).
TOTAL COST = $3,007.15
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