Parent Permission for G/T Services

Yoakum Independent School District
Parent Permission for Gifted/Talented Service Form

Student's Name: ______________________________________________________

Address:  ____________________________________________________________

Home phone: ________________________ Work phone: ________________________

Grade:  _________ Teacher: ______________

Your child Your child has met the educational qualifications for placement in the Gifted/Talented program. Before we can officially begin program services for your child, we must have your written approval. Please complete this form and return it to school at your earliest convenience.

Please check the appropriate space:

_____ YES, I give permission for our son/daughter to receive Gifted/Talented Services.

_____ NO, I do not want our son/daughter to receive Gifted/Talented Services.

Parent/Guardian Signature:_______________________________________________

Date: ________________________