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2022-2023 Georgia Student Health Survey Opt-Out
If you do not wish for your child who is enrolled in grades 3 - 12 to take the Georgia Student Health Survey, please complete the form below by Friday, November 18, 2022.
You will need to submit a new form for each child who is opting out.
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* Indicates required question
School Name
*
Choose
Center Elementary
Memorial Drive Elementary
Ruskin Elementary
Wacona Elementary
Waresboro Elementary
Williams Heights Elementary
Ware County Middle
Waycross Middle
Ware County High
Student's First and Last Name as it appears on school documents
*
Your answer
Last Name of Student's Homeroom/TAA Teacher
*
Your answer
Student's Grade
*
Choose
3
4
5
6
7
8
9
10
11
12
Name of Parent/Guardian submitting this form
*
Your answer
Submit
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