Newcomb Central School District
Mrs. Christian Fisher, Superintendent of Schools
P.O. Box 418
5535 State Route 28N
Newcomb, New York 12852
Phone: 518-582-3341 Fax: 518-582-2163
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Dear Parent:
As part of a required school health examination, a student is weighed and his/her height is measured. These numbers are used to figure out the student’s body mass index or “BMI”. The BMI helps the health provider know if the student’s weight is in a healthy range or is too high or too low. New York State Education Law requires that BMI and weight status group be included as part of the student’s school health examination. Annually, a sample of school districts will be selected to take part in a survey by the New York State Department of Health. If our school is selected to be part of the survey, we will be reporting to New York State Department of Health information about our students’ weight status groups based upon information submitted to the school from the previous year. Only summary information will be sent. No names and no information about individual students will be 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 print and sign your name below and return this form to Mrs. Bolan at school by Friday, December 18, 2020. If this form is not returned by that date, your child’s weight status information will be included in the survey.
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Please do NOT include my child’s weight status information in the 2020-2021 School Survey.
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Print Child’s Name Date
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Print Parent’s Name Parent’s Signature