Friday, August 1st, 2014


Items denoted with a red asterisk * are required.
Counseling Group Consent Form
 
My child has my permission to participate in the Counseling group specified below at Page Middle School. I have reviewed the goals and understand that students will meet with the counselors as described, on a rotating basis during school hours. If questions arise, I can contact Amy Schelesky in the Page Counseling Office (248) 589-3428 ext. 2731

PLEASE SUBMIT THE PARENT QUESTIONNAIRE IN ADDITION TO THIS PERMISSION SLIP. YOU CAN CLICK ON THE ATTACHED LINK TO SUBMIT THIS FORM OR FORWARD A HARD COPY TO THE COUNSELING OFFICE.
Counseling Groups - Select One
 
 * Student Name
 
 * Parent/Guardian Name
 
 * Telephone Number
 

We'll call you to confirm in lieu of a signature.

Email Address (if available)