Parent Permission Reminder - English

Form Approved

OMB No. 0920-0493

Expiration Date: XX/XX/XXXX

2017 and 2019 National Youth Risk Behavior Survey

Appendix H3

Parental Permission Form Reminder Notice (English Version)

REMINDER

Dear Parent(s):

Your child’s school is taking part in a national survey of health behaviors.

Recently, a parental permission form was sent home with your child. As yet, it has not been returned.

A second copy of the permission form and fact sheet is attached. Please read the form, check the appropriate box, sign the form, and return it to the school within three days.

Thank you.