---
title: Extended School Year ESY Services Parental Consent Form Template | Paperform
description: Professional parental consent form for extended school year services with summer programming details, regression prevention, recoupment periods, and individualized goals. Perfect for schools and special education teams.
url: "https://paperform.co/templates/extended-school-year-esy-services-parental-consent-form"
type: static
generatedAt: "2026-04-03T00:48:49.871Z"
---

[← Back to free form templates](/templates/)    ![Extended School Year (ESY) Services Parental Consent Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/extended-school-year-esy-services-parental-consent-form.png)
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### Extended School Year Services Parental Consent Form

Extended School Year (ESY) services are critical for students who require continuous educational support beyond the traditional school calendar to prevent regression and maintain academic progress. This **Extended School Year Services Parental Consent Form** provides schools, districts, and special education teams with a professional, comprehensive tool to secure informed parental consent while clearly communicating program details, individualized goals, and regression prevention strategies.

#### Why schools and districts choose Paperform for ESY consent

Paperform makes it simple for **school administrators, special education coordinators, and student services teams** to create on-brand consent forms that reflect the professionalism families expect while streamlining the entire approval process. With conditional logic, you can tailor questions based on student needs, service types, and individualized education program (IEP) goals—ensuring every family receives relevant information without overwhelming them with unnecessary details.

This template includes sections for student information, ESY eligibility criteria, summer programming details, regression concerns, recoupment period documentation, and individualized goals—giving you a complete picture of each student's needs while maintaining compliance with special education regulations.

#### Streamline workflows with Stepper and Papersign

Once a parent submits their consent, you can use **[Stepper](https://stepper.io)** to automatically route approvals to case managers, update student information systems, notify summer program coordinators, and trigger follow-up communications—ensuring nothing falls through the cracks during the busy transition to summer programming.

For schools requiring formal signatures on consent documents, **[Papersign](https://papersign.com)** transforms submissions into legally binding eSignature packets, creating a clear audit trail for compliance purposes while keeping families engaged through a simple, mobile-friendly signing experience.

#### Built for education professionals who value efficiency and compliance

Whether you're a special education director managing district-wide ESY programs, a school psychologist coordinating individualized services, or a student services coordinator handling summer programming logistics, this template gives you the foundation to collect detailed consent information, maintain compliance documentation, and provide families with transparency throughout the ESY process—all within a single, professional form that can be embedded on your school website or shared directly with families.
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