School Based Client Services Agreement form (in English) Resilient Scholars Project Consent – Full English URLThis field is for validation purposes and should be left unchanged. For each of the four fields below, please click “Add Form” and fill out the form that displays. Once you have added the form, you should see the participant’s name and your signature come up. After completing all four forms, you may click submit. If you are consenting for multiple participants, please refresh your page after submission to complete another form.Consent for Services Participant’s Legal Name Signature Actions Edit Delete There are no Entries. Add Form Maximum number of entries reached. Emergency Contact Form Client/Participant Legal Name Signature Actions Edit Delete There are no Entries. Add Form Maximum number of entries reached. Additional Communications Client/Participant Legal Name Signature Actions Edit Delete There are no Entries. Add Form Maximum number of entries reached. Patient Portal Opt-Out Client/Participant Legal Name Signature Actions Edit Delete There are no Entries. Add Form Maximum number of entries reached. This field is hidden when viewing the formUntitledAnacostia High SchoolDC Prep Anacostia CampusDeal Middle SchoolDigital Pioneers AcademyDunbar High SchoolEliot Hine Middle SchoolGarnet-Patterson S.T.A.Y.Johnson Middle SchoolKelly Miller Middle SchoolKIPP DC: AIMKIPP DC: College PrepKIPP DC: LegacyKIPP DC: PromiseKramer Middle SchoolStatesmen College Prep for Boys Acuerdo de Servicios/Consentimiento para servicios en la escuela/comunidad (en Español) RSP Acuerdo de Servicios / Consentimiento – Español InstagramThis field is for validation purposes and should be left unchanged. Para cada de los cuatro secciónes a continuación, haga clic en “Agregar Formulario (Add Form)” y completa el formulario que se mostrará. Una vez que haya agregado una entrada, verás el nombre del participante y su firma. Después de completar las cuatro entradas, podrás enviar el formulario. Si vas a dar su consentimiento para varios participantes, refresca la página después de enviar el formulario para completar otro. Acuerdo de Servicios / Consentimiento Nombre legal del participante Firma Actions Edit Delete There are no Entries. Add Form Maximum number of entries reached. Formulario de Contacto de Emergencia Nombre legal del Cliente/Participante Firma Actions Edit Delete There are no Entries. Add Form Maximum number of entries reached. Formulario de Comunicaciones Adicionales Nombre legal del Cliente/Participante Firma Actions Edit Delete There are no Entries. Add Form Maximum number of entries reached. Portal de Paciente Nombre legal del Cliente/Participante Firma Actions Edit Delete There are no Entries. Add Form Maximum number of entries reached.
