Connections Individual and Family Services, Empowering Youth Opt Out Form

Connections Individual and Family Services

Dear Parents/Guardian:

Connections Individual and Family Services, Empowering Youth Program is partnering with Benito Juarez Elementary to provide a tested and proven prevention program. The goal of this program is to empower youth to resist the dangers of substance use and misuse and encourage them to make healthy choices. It will also help them to improve the skills they need in life.

Your youth and their class can participate in Positive Action with other youth. The program consists of one to two weekly lessons to be held at Benito Juarez Elementary. There is no cost for your youth to participate in this program and participation is voluntary. Connections Individual and Family Services, Empowering Youth Program works closely with Benito Juarez Elementary to ensure this program does not interfere with your youth's required lessons, classes, or activities. If you would like more information about this program you may visit positiveaction.net. Please note, if you do not return this form your youth will be allowed to participate in this program.

Attached is a session outline of the Positive Action lessons and a copy of your youth's rights as a participant. If you have any questions or concerns, please contact Stefanie Garcia, Prevention Program Director for Connections' Empowering Youth Program at 830-626-6571 ext. 313 or [email protected]. This consent form expires August 31, 2021.

Please fill out the Attached opt Out Signature page no later than 12/18/2020. ONLY IF YOU DO NOT WANT YOUR CHILD TO PARTICPATE IN THE PROGRAM.

Signature Page may be returned to Benito Juarez Elementary or sent to Connections Individual and Family Services at 1313 Veteran's Blvd. Ste. B Crystal City Tx. 78839, or [email protected].
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