BGPS Healthy Youth Survey Request to Excuse Form 2021
The deadline to opt out of the 2021 Healthy Youth Survey is Thursday, Oct. 14. Please complete this form if you would like to excuse your child(ren) from participating in the BGPS Healthy Youth Survey, which will be given between Oct. 18 and Nov. 5, 2021. Students only from grades 6, 8, 10 and 12 take the survey. Please list all children you wish to excuse.
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Student name and school of attendance.
Please fill out the information below for each child you wish to excuse from the survey.
Student 1:  Child's full name. *
Please type your child's name in the box below.
Student 1: School of Attendance *
Student 2: Child's full name.
Please type your child's name in the box below.
Student 2: School of Attendance
Student 3: Child's full name.
Please type your child's name in the box below.
Student 3: School of Attendance
Student 4: Child's full name.
Please type your child's name in the box below.
Student 4: School of Attendance
Additional Students
Please list any additional students and school of attendance in the box below.
Parent/Legal Guardian Name *
Terms of Agreement: I object to the participation of my child(ren) or legal ward(s) in the Battle Ground Public Schools' Healthy Youth Survey and request that he/she be excused from participation in the survey.  
I have read and agree to the listed terms above. *
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