Parent Permission Distribution Script

Att I3_ParentPermissionDistScript.docx

2021 and 2023 National Youth Risk Behavior Surveys and 2021 ABES

Parent Permission Distribution Script

OMB: 0920-0493

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2021 and 2023 National Youth Risk Behavior Survey





Attachment I3


Parental Permission Form Distribution Script








Instructions to be Read

When Distributing Permission Forms



Dear Teacher:


You may wish to read this as you distribute the parental permission forms to encourage student participation in the {Year} national Youth Risk Behavior Survey.


Thank you.




  • Our class has been selected to participate in the {Year} national Youth Risk Behavior Survey conducted by the Centers for Disease Control and Prevention (CDC). This survey focuses on health-risk behaviors -- such as smoking or alcohol and drug use -- that affect teens now and into their adulthood.


  • By participating in this survey, you are taking part in an extremely important effort to understand the health of the Nation’s teens. CDC needs and values your input.


  • Each of you will receive a parental permission form to take home for a parent or guardian to sign. Please show it to your parent/guardian, have them sign it, and then bring it back to me the next time our class meets.


  • I would like for you to return the form to me, even if your parent says you cannot participate. Please return the form regardless.





File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorSophia.L.Stringfello
File Modified0000-00-00
File Created2021-01-14

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