St Mary's War Memorial School West Wyalong eNewsletter

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St Mary's War Memorial School West Wyalong

England Street
West Wyalong NSW 2671

St Mary's War Memorial School West Wyalong
Catholic Archdiocese of Canberra and Goulburn
Education Ltd ABN 60 675 797 734

Phone: 02 6972 3003

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School Survey - Student Non Participation

Please complete this form if you do not wish your child to participate in the 2021 school survey.

Please enter all of your Year 4-6 children on this one form.

Family Surname *

Child 1 - First Name *

Child's School Year *

Child 1 - Opt Out of the Survey

Please tick this box to select NON participation *

My child will not participate in the survey

Child 2 - First Name

Child's School Year

Child 2 - Opt Out of the Survey

Please tick this box to select NON participation

My child will not participate in the survey

I give permission for the child/ren listed above to not participate in the school survey for 2021.

Parents Signature *

Write your signature above the line