2017 Healthy Kids Colorado Survey Opt Out Form
Complete this form
only if you received a letter
notifying you that your student has been selected to participate in the 2017 Healthy Kids Colorado Survey (HKCS) AND you
want your student to participate in this survey.
The information you provide will only be shared with the relevant classroom teacher for opt-out purposes.
Student's full name
I acknowledge the following:
I have received and understand the information provided by Boulder Valley School District and Healthy Kids Colorado regarding this survey.
may NOT take part in this survey.
Do Not Fill This Out