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AUDIT NEWPORT NEWS / SOURCE RECORD
Signed September copy: parent agreement
SELECTED PUBLICATION COPY | REVIEWED OCTOBER 31, 2026
ANN context and transcriptions are editorial. Private originals are withheld.
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The supplied copy contains a checked agreement to the proposed placement and a parent signature dated September 27,
2026. The handwritten name is withheld. This supersedes the earlier statement that no consent copy had been located; it
does not prove services were delivered or settle which later amendments were operative.
Source p. 25: selected placement-agreement box
Source p. 25: displayed signed date; family signature excluded
Source p. 2: staff signature dates, September 24-25; names/signatures excluded
These are signature dates. They do not independently establish the date of the team meeting described in the September 22
PWN and September 25 email.
Selected source transcription (redactions indicated in brackets):
PARENT (OR GUARDIAN) STATEMENT. [Checked] I agree to the proposed placement in Special Education. Signature below indicates permission for placement. [Family signature withheld.] Signed: 9/27/2026. Source p. 2 staff-signature dates: 09/24/2026; 09/25/2026; 09/24/2026; 09/24/2026.Jump to an indexed page (2 of 2)