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Passive Parental Permission Form
Passive Parental Permission Form
Dawn Hansen
Tuesday, April 09, 2019

Full Form can be found at:  and will be sent home with students.




Dear Parents,


The Middle and High School students at Cedar Bluffs be participating in an assembly presentation by Dr. Adler of Ralston Public Schools on April 25th, 2019.


Dr. Adler is the father of a son who committed suicide as a response to relentless bulling throughout his school-aged years.  Dr. Adler will be presenting on what his son endured along with what his family has gone through as a result of the events that took place in his son’s life.


Dr. Adler is currently the superintendent of Ralston Public Schools and presents at schools across the state to bring awareness to the impacts that bulling can have on our peers and others.  This is a topic that students are familiar with but may not understand the full extent of pain and harm it may cause unto others. 


Students are encouraged to participate in the assembly and listen to Dr. Adler’s story.  However, if you do not want your son or daughter to be part of this assembly please fill out the bottom portion of this form.


Thank you,


Tina Hanzel

MS/HS Principal

Cedar Bluffs Public Schools