BMI Opt Out Form
Our school district was selected to take part in a survey by the New York State Department of Health for the 2014-2015 school year. We will be reporting to New York State Department of Health information about our students’ weight status groups from the previous 2013-2014 health certificate/appraisal forms. This will include students that were in grades UPK, K, 2, 4, 7, and 10 during 2013-2014 school year. Only summary information is sent no names and no information about individual students are sent. However, you may choose to have your child’s information excluded from this survey report.
The information sent to the New York State Department of Health will help health officials develop programs that make it easier for children to be healthier.
If you do not wish to have your child’s weight status group information included as part of the Health Department’s survey this year, please complete this opt-out form and return to your child’s school nurse by December 8, 2014.