The Beeline - Box Elder High School - Box Elder School District

Box Elder High School
2009-2010 Student Handbook Signature Form
Student Name (please print)_______________________________Grade _______
Releasing Student Information
Dear Parent/Guardian:
Recognizing the challenges faced by military recruiters, the No Child Left Behind Law requires
high schools to provide to military recruiters, upon request, access to names, addresses, and phone
numbers of high school juniors and seniors. The law also required high schools to release
information to colleges or other higher learning institutions, upon request.
If you do not want Box Elder High School to disclose this information without your prior written
consent, you must fill out the detachable form below and return it to your first period teacher the
first week of school. If we do not receive the form back by this date, we will release student
information to military or college recruiters upon request. If you child is over 18, he or she must
sign the form.
A list of the guidelines on military recruiters’ and colleges’ access to information can be found at
the following Web site: www/ed.gov/offices/OM/fpco/hot_topics/ht_10-09-02.html. If you have any
questions, please do not hesitate to call.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
PARENT OPT-OUT FORM
Do not disclose my child’s name, address, or telephone number to the following without my prior
consent (check one or both):
___United States Military Recruiters
___Colleges and Other Higher Education Institution Recruiters
Parent’s signature_________________________________________________________
Student’s Signature________________________________________________________
(If student is over 18, student rather than parent must
sign)
Box Elder High School Policies
It is vital that students and parents/guardians are aware of the policies and procedures that govern
our school. We would encourage you to carefully read this handbook. If you have questions, please
feel free to call the school for clarification.
Your signature indicates that you have received a copy of the school’s policies and that you have
knowledge of that information. Your signature also will replace having to sign individual policy
documents such as the Box Elder School District Transportation Agreement, BEHS Computer Use
Agreement, etc. as contained in this student and parent handbook.
We the undersigned have read and understood the Box Elder High School 2009-2010 Student
Handbook.
Student Signature
Parent/Guardian Signature
Please fill out, tear out of book and return to your 1st period teacher.
Box Elder High School Page 30 2008-2009 Student Planner