Dear Building Principal,

This letter serves as my formal notification that I am refusing consent for my child, [Student's Full Name], to participate in the upcoming Youth Risk Behavior Survey (YRBS) at [School Name].

I understand the purpose of the YRBS is to gather data on health behaviors; however, after reviewing the survey content and considering my family’s right to privacy, I have made the decision to opt my child out of this activity.

Please ensure that [Student's Full Name] is excused from the survey administration and provided with a quiet, alternative activity during the scheduled survey time.

Thank you for your prompt attention to this matter and for respecting my decision as a parent/guardian.

Sincerely,

[Parent/Guardian Full Name]