York/Adams Drug & Alcohol Prevention Program Participation Consent/Release Form



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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.

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).

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).

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).

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).