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Century Student Witness Statement Form


You are being asked to provide this statement because you may have witnessed or have knowledge about an incident school staff is investigating. You may also be suspected of violating school rules. You may refuse to provide a written statemant. Refusing to provide a written statement does not prevent school staff from imposing disciplinary sanctions when appropriate.

*You may request to have your parents present when completing the statement or you may refuse to provide a written statement.*
First Name
Last Name
Must contain a date in M/D/YYYY format