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Required

Toothbrushing Opt-Out Form

I have been made aware of the toothbrushing program offered at Sonshine Learning Center and I am choosing to not have my child (listed below) participate in Sonshine Learning Center’s (SLC’s) Cavity Free Kids program at school.  

 

I understand that I may choose to have my child participate in the toothbrushing program at a later date. If I choose to have my child participate, I will complete a “Toothpaste Authorization Form” located on the SLC website.  

Locationrequired
Child's Namerequired
First Name
Last Name
Parent/Guardian Namerequired
First Name
Last Name
Must contain a date in M/D/YYYY format
Plese click "I have read and understand" to acknowledge your selection for your child.required