Mr. John Doe


Any School Middle School



Mr. Doe


We are writing to notify you that we do not want our child, Sally Student, to take the PARCC test.  As the legal representatives for our child, we are refusing on her behalf, and thus she will not be participating in these exams.  Please respect our parental rights and refrain from asking our child to refuse the test herself.


Please let us know that you have received and recorded this note.  In addition, please advise (at your earliest convenience) what alternative arrangements Any School Middle School is making for students who refuse.







Fred and Wilma Parent