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Parents

Eyelook Questionnaire

Parent Questionnaire: Please complete the information below and return to school before the date of testing ONLY if your child is already under care or you DO NOT wish for your child's vision to be tested. It is important to have children's vision tested, even if everything appears OK. Your completed form will be emailed to the school office. Thank you.

School: St James' Church of England Primary School, Old Jamaica Road, London SE16 4SU

1. My child is already under care:*

It is important to have children's vision tested, even if everything appears OK.

If you DO NOT want your child to be tested, tick this box

If we do not receive this form, or the form is incomplete, we will assume you DO wish to have your child's vision assessed and are happy for the school to provide details of your child's address and telephone contact number.

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