EDGE Choosing Your Future Parent/Legal Guardian Consent Form

EDGE High School

Dear Parent:

The Arizona Youth Partnership (AZYP) is a non-profit community-based organization with offices across Arizona. AZYP Healthy Relationship Education staff will be implementing the Choosing Your Future Program at your child’s school. Choosing Your Future is an AZYP program that helps youth learn about peer pressure, media pressure, assertiveness skills and the risks of early sexual involvement.  The youth also learn how to make healthy decisions, set boundaries and increase communication with trusted adults.  As part of the program, the following activity will be offered to your child:Choosing the Best curriculum in Mr. Pecharich or Mr. Thatcher’s class at EDGE High School Spring 2021.

Choosing the Best curriculum in Mr. Pecharich or Mr. Thatcher’s class at EDGE High School, Spring 2021

Because your child is under the age of 18, your child needs your permission to participate in the Choosing Your Future Program and Program Evaluation/Data Collection (e.g., surveys).  Please give your permission by reading the attached Parent/Legal Guardian Consent Form and completing the Form. The consent form explains the program and data collection activities your child may participate in and is meant to be read so that you understand the nature of the program and data collection and can decide for yourself in an informed manner whether to allow your child to participate in these activities.

If you would like information about program content or how the program is presented, please contact Christine Barry at Arizona Youth Partnership at 520-744-9595 or visit our website: https://azyp.org/program/choosing-the-best/

Consent for Program Participation

Choosing Your Future is a grade-specific youth program that helps students learn about peer pressure, media pressure, assertiveness skills and the risks of early sexual involvement.  Youth also learn how to make healthy decisions, set boundaries and increase communication with trusted adults.

If you agree (give your consent) for your child to participate, your child will participate in one of the following Choosing the Best (CTB) grade-specific curriculum(s):

CTB Way (Grade 6)                            

CTB Path (Grade 7)                            

CTB Life (Grade 8)

CTB Journey (Grades 9-10)

CTB Soulmate (Grades 11-12)

Benefits of Participation: The benefit to your child from participating in the program is that they will receive medically accurate age-appropriate sexual risk avoidance and relationship education. By participating in the program, they will learn the advantages of delayed sexual activity and be empowered to make healthy choices to improve their life outcomes.

Risks of Participation: The risks to your child from participating in the program are minimal but include the possibility that your child may feel uncomfortable discussing or learning about topics of a personal nature. Program staff will be available to discuss feelings brought up in the process of participating in the program, and additional counseling and referrals to social service providers will be available outside this project. You may discuss these services with program staff at any time. In addition, if you are completing this consent form online or your child is completing program evaluation surveys online, there is always the possibility of tampering from an outside source when using the internet for collecting information. While the confidentiality of your responses to this form and your child’s survey responses will be protected once the data are downloaded from the internet by AZYP or its evaluator, there is always a possibility of hacking or other security breaches that could threaten the confidentiality of responses. Please know that you and your child are free to decide not to answer any items on this consent form or on surveys.

Confidentiality: All information gathered while your child is receiving services from AZYP is confidential. However, information may be released in case of medical emergency, child abuse or neglect, court order, and where otherwise legally required. 

Voluntary Participation/Withdrawal: Participation in the program is voluntary. You have the right to decline or to withdraw your child from the program at any point. If you do not wish for your child to participate or if you decide your child will stop participating in the program, it will not affect any other services your child is eligible to receive from AZYP.

Mandatory Reporting Requirements: All members of the staff are required by law to report suspected incidents of violence. If your child reports child abuse, suicidal ideation and suicidal intent, or threatens to harm others, a report must be filed with an appropriate agency.  This may include Department of Child Safety or a similar agency.

Questions: If you have questions about the Choosing Your Future Program, you may contact Christine Barry at AZYP at 520-744-9595.

Consent to Participate in Program Evaluation/Data Collection (e.g. surveys)

AZYP has contracted with Civitas Evaluation, a Tucson-based consulting firm to evaluate the Choosing Your Future program. The purpose of the program evaluation is to determine if AZYP is meeting its goals, suggest areas for program improvements, and help identify plans for future programs.  

If you agree (give consent) to participate in the program evaluation, your child may be asked to participate in one or more of the following activities:

  • Complete an anonymous survey before and after the CTB curriculum with questions related to their demographics; substance use; self-regulation and decision making; goal setting; healthy relationships, dating violence and sexual coercion; and overall experience in the program. Youth will also be asked whether they think the program affected their decisions to delay having sex.

Students from a smaller subset of schools receiving the CTB curriculum may also be asked to:

  • Complete a brief anonymous survey with questions about their perceptions and attitudes about sexual risk avoidance.
  • Participate in an audio-recorded focus group discussion with other students to discuss their perceptions and attitudes about sexual risk avoidance.

Benefits of Participation: The benefit to your child from participating in the program evaluation is that findings will be used to improve curriculum delivery and content and to inform recommendations for future programs in the community.

Risks of Participation: The risks to participating in the program evaluation are minimal but include the possibility that your child may feel uncomfortable answering survey or focus group questions of a personal nature. Program staff will be available to discuss feelings brought up in the process of data collection, and additional counseling and referrals to social service providers will be available outside this project. You may discuss these services with program staff at any time. In addition, it is possible that your child’s survey answers could be seen by another student or somehow revealed, which may be embarrassing for your child. It is very unlikely that your child’s answers will be revealed, and every effort will be made to keep all answers private. In addition, if you are completing this consent form online or your child is completing program evaluation surveys online, there is always the possibility of tampering from an outside source when using the internet for collecting information. While the confidentiality of your responses to this form and your child’s survey responses will be protected once the data are downloaded from the internet by AZYP or its evaluator, there is always a possibility of hacking or other security breaches that could threaten the confidentiality of responses. Please know that you and your child are free to decide not to answer any items on this consent form or on surveys.

Confidentiality: All information gathered for program evaluation purposes while your child is participating in AZYP programming is confidential.  Survey data will be submitted to the funding agency, but the surveys will not contain your child’s name or other personal identifiable information and the surveys will not be shared with your child’s school or their teachers. Your child’s name and birthdate will appear on attendance records or this consent form, which are maintained by program staff, however, this information will not be shared with the funder or other staff unaffiliated with the program. Summary results from the evaluation may be presented at meetings or in publications. AZYP staff are required by law to report suspected incidents of violence. If your child reports child abuse, suicidal ideation and suicidal intent, or threatens to harm others, a report must be filed with an appropriate agency.  Confidential information may be released in case of medical emergency, child abuse or neglect, court order, and where otherwise legally required. 

Voluntary Participation/Withdrawal: Participation in the program evaluation is voluntary. Your child may participate in the program without participating in the program evaluation. You have the right to decline or to withdraw your child from the program evaluation at any point. If you do not wish for your child to participate or if you decide your child will stop participating in the evaluation, it will not affect any other services your child is eligible to receive from AZYP. Questions: If you have questions about the program evaluation/data collection activities, you may contact Meg Knight at megknight@civitaseval.com