PARENT PERMISSION FOR SPECIAL EDUCATION PLACEMENT FOR NEW STUDENT IN
Name of Student
is/are in agreement to the continuation of our child in a special education program and/or related services
also give my permission for the
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:
Signature of Parent/Legal Guardian:
Relationship to Child: