2021-22 Opt-Out Request

In alignment with Board Policy 581 (section VII. D.), parents/guardians (or students age 18+) can opt their children (or themselves) out of sharing directory information, including their child's photo. All fields are required to ensure compliance with the policy. This request is only valid for the current school year and must be updated annually. Directory information means information contained in an education record of a student which would not generally be considered harmful or an invasion of privacy if disclosed. It includes, but is not limited to: the student's name, name of school attended, dates of attendance, grade level, date of graduation, participation in officially recognized activities and sports, weight and height of members of athletic teams, degrees and awards received, as well as photos/videotape (excluding security camera videos in schools and/or in school buses) for school approved publications, school news purposes, school video productions or local cable casts. It also includes name, address, and telephone number of the student's parent(s).

I am the...

parent or legal guardian

student and I am over 18 years of age

My First Name

My Last Name

Home Address

Opt-Out Options

Opt-Out Options

I would like to opt-out of the following categories of directory information:

External Photos/Videos: Please do not use any photos or videos of the student named above for any purpose. This includes, but is not limited to, school or District posts on social media or the website, use in marketing materials or in promotional videos. However, internal publications like yearbooks, class programs and athletic programs will be permitted.

External Photos/Videos: Please do not use any photos or videos of the student named above for any purpose. This includes, but is not limited to, school or District posts on social media or the website, use in marketing materials or in promotional videos. However, internal publications like yearbooks, class programs and athletic programs will be permitted.

Internal and External Photos/Videos: Please do not use any photos or videos of the student named above for any purpose. This includes all categories identified above as well as, classroom presentations, the yearbook and school assemblies.

Internal and External Photos/Videos: Please do not use any photos or videos of the student named above for any purpose. This includes all categories identified above as well as, classroom presentations, the yearbook and school assemblies.

Other Directory Information for School Purposes: This includes, but is not limited to, the student's name, name of school attended, dates of attendance, grade level, date of graduation, participation in officially recognized activities and sports, weight and height of members of athletic teams, or degrees and awards received. (Note: This is generally used for yearbooks, sports programs and other school publications.)

Other Directory Information for School Purposes: This includes, but is not limited to, the student's name, name of school attended, dates of attendance, grade level, date of graduation, participation in officially recognized activities and sports, weight and height of members of athletic teams, or degrees and awards received. (Note: This is generally used for yearbooks, sports programs and other school publications.)

Mailing Information: This includes the name, address and telephone number of the student's parents/guardians. (Note: This is not associated directly with a student name in the data provided).

Mailing Information: This includes the name, address and telephone number of the student's parents/guardians. (Note: This is not associated directly with a student name in the data provided).

Military Recruiters: Please do not share directory information for the above named student with any military recruiters (must be checked and submitted by Oct. 1 each year).

Military Recruiters: Please do not share directory information for the above named student with any military recruiters (must be checked and submitted by Oct. 1 each year).

If you have any other opt-out requests, please include them here.

Certification

Certification

I understand that this request is only valid during the 2021-22 school year and that a new request needs to be made each year.

I understand that this request is only valid during the 2021-22 school year and that a new request needs to be made each year.

Send me a copy of my responses