Testing Refusal Letter
Your child is required to participate in the Smarter Balanced Assessments and/or the NGSS Assessment. All students participating are required to be assessed in-person and on our school's campus. This form is required if you do not want your child to participate in testing. Please complete the form for each individual student.
Email *
Student Last Name *
Student First Name *
Student Grade
Clear selection
Parent Last Name *
Parent First Name *
Parent Email Address
State testing is important to assess your child's learning. However, we understand the concerns you may have about bringing students to campus. Please mark the box below, if you refuse for your child to take part in testing. Clicking the box below is the same as a parent signature. *
Required
Please provide a reason for your refusal. *
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Keaukaha Elementary School. Report Abuse