TX HHS Form 5110. Youth Prevention Universal Program Participation Letter

TX HHS Form 5110. Youth Prevention Universal Program Participation Letter

The TX HHS Form 5110, Youth Prevention Universal Program Participation Letter, is a consent form that helps solve the problem of ensuring parental/guardian approval for their child's participation in a tested and proven prevention program. The form is typically used by parents/guardians who want to enroll their youth in this program, which aims to empower youths to resist substance use and misuse, improve life skills, and make healthy choices.

This letter requires the parent/guardian to provide certain information, including their organization's name, school/community site's name, and curriculum developer's website. The form also outlines the program's details, such as the number of sessions, location, and no-cost participation. Additionally, it emphasizes that participation is voluntary and that the program will not interfere with the youth's required lessons or activities.

The key features of this form include the requirement for parent/guardian consent, the provision of program information, and the assurance that participation is voluntary. Parents/guardians can return the completed form to their child's school/community site or send it to the organization at their mailing address, fax number, or email address. If they have any questions or concerns, they can contact the program director for further assistance.

  • This form is used by parents/guardians who want to enroll their youth in a tested and proven prevention program.
  • The program aims to empower youths to resist substance use and misuse, improve life skills, and make healthy choices.
  • Participation in the program is voluntary and does not interfere with the youth's required lessons or activities.
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https://www.hhs.texas.gov/regulations/forms/5000-5999/form-5110-youth-prevention-universal-program-participation-letter