Behavior & Emotional Screening System (BESS) opt out form

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By filling out this form, you are indicating that you DO NOT want your child to take the assessment. Students who are opted out will NOT receive a survey code and will instead be asked to sit quietly at their desks or continue with school work while others take the assessment.

The deadline to fill out the opt out form is: Monday 9/26/22

Date *

YYYY

What is your child's first and last name? *

Please indicate what grade your child is in *

I am affirming by typing my name below that I DO NOT want my student to take the BESS survey *

(optional) please share why you are opting your child out of this survey

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