PARENT PERMISSION FOR SPECIAL EDUCATION PLACEMENT FOR NEW STUDENT IN SCHOOL DISTRICT

 

 

                                                                                                                                               

Name of Student

 

                                                                         is/are in agreement to the continuation of our child in a special education program and/or related services                                               

                                    .

 

            I also give my permission for the Logan-Hocking Local School District personnel to conduct an evaluation or re-evaluation of my child if indicated.

 

            I understand that I have the right to refuse permission for the program placement and will be informed of my Due Process rights in this situation.

 

            Printed Name of Parent/Legal Guardian:                                                                       

            Address:                                                                                                                      

            Signature of Parent/Legal Guardian:                                                                              

            Relationship to Child:                                                                                                   

            Date: