Monroe County, MI · Monroe County
Consent and Acknowledgement Form
This form records a student’s and parent or guardian’s consent for participation in Monroe County’s Enhancing Strengths & Supports Program.
At a glance
- Issued by
- City of Monroe County · Monroe County, Monroe County, Michigan
- Notarization
- Not required: file this form without a notary.
- Official source
- co.monroe.mi.us
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
The form documents consent for a student’s participation in the Enhancing Strengths & Supports Program, including transportation, education information exchange, mental health information exchange, community service activities, and photo or media use. A parent or guardian completes it for a child participating in the program, and the student and parent or guardian sign the first page. The parent or guardian also signs the accident waiver and release on the second page.
Who needs it
A parent or guardian of a student participating in Monroe County’s Enhancing Strengths & Supports Program completes the form, with the student signing the consent page.
How to submit it
Submit it to the county department named on the form; check the county website for current contact details.
About notarization
This form is signed without a notary; the student and parent or guardian sign and date the consent, and the parent or guardian signs and dates the waiver.
How to submit this form
- 1
Download the Form
Download the two-page Consent and Acknowledgement Form.
- 2
Complete the Form
Print the student’s name and the parent or guardian’s name, then review and complete the consent sections.
- 3
Sign and Date
Have the student and parent or guardian sign and date the consent page; the parent or guardian also signs and dates the waiver.
- 4
Submit to the County
Submit the completed form to the county department named on it; check the county website for current contact details.
Frequently asked questions
- What does the ESS Consent and Acknowledgement Form cover?
- It documents consent for program transportation, information exchange, community service activities, photo or media use, and the accident waiver and release.
- Who signs the ESS consent form?
- The student and parent or guardian sign and date the consent page. The parent or guardian also signs and dates the accident waiver on the second page.
- Do I need a notary for the ESS Consent and Acknowledgement Form?
- No. This form is signed without a notary; the student and parent or guardian sign and date the consent, and the parent or guardian signs and dates the waiver.
- How do I submit the ESS Consent and Acknowledgement Form?
- Submit it to the county department named on the form; check the county website for current contact details.