Ccsd 59 Google Apps Permission Form Page 2

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CCSD 59 GOOGLE APPS FOR EDUCATION PARENT CONSENT
Please check the one of the blanks below to provide your consent or deny your child’s access to CCSD 59’s
Google Apps for Education.
_____ YES, I give permission for my child to be assigned a full CCSD 59 Google Apps for Education account.
_____ NO, I do not give permission for my child to be assigned a full CCSD 59 Google Apps for
Education account.
Student Name: (Print) _________________________________________________________________
Student ID # (if known): ________________________________________ Grade:________________
School: ___________________________________________________________
Parent/Guardian Signature:_____________________________________________
Date:_________________
Please sign and return this form to your child’s classroom teacher.

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