Panorama Survey Opt Out Form
Completing the opt-out form will preclude the student from participating in the Fall 2026 Panorama survey administration AND the Spring 2027 Panorama survey administration. We kindly ask families who wish to remove students from the Panorama survey process during the 2027-28 Academic Year to complete the form again at the beginning of that academic year.
Parent/Guardian Name:
First Name
Last Name
Student Name:
First Name
Last Name
Student Number:
Student Number:
Phone Number:
Please enter a valid phone number.
Format: (000) 000-0000.
My student is in
Please Select
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
My Student school is
Arrowhead Elementary
Canyon Creek Elementary
Cottage Lake Elementary
Crystal Springs Elementary
East Ridge Elementary
Fernwood Elementary
Frank Love Elementary
Hollywood Hill Elementary
Kenmore Elementary
Kokanee Elementary
Lockwood Elementary
Maywood Hills Elementary
Moorlands Elementary
Northshore Learning Options (NLO)
Ruby Bridges Elementary
Shelton View Elementary
Sunrise Elementary
Wellington Elementary
Westhill Elementary
Woodin Elementary
Woodmoor Elementary
My Student school is
Canyon Park Middle School
Kenmore Middle School
Leota Middle School
Northshore Middle School
Northshore Learning Options (NLO)
Skyview Middle School
Timbercrest Middle School
My Student school is
Bothell High School
Inglemoor High School
Innovation Lab High School
Northshore Learning Options (NLO)
North Creek High School
Secondary Academy for Success (SAS)
Woodinville High School
Parent or Guardian Signature:
Submit
Should be Empty: