Back-up not in agenda book - Seminole County Schools

RELEASE OF DIRECTORY INFORMATIONThe School Board of Seminole County, FloridaThe School Board of Seminole County, Florida may release the following “directory information” withoutyour permission unless you notify the principal in writing by September 2, 20110. Upon request, militaryrecruiters will be provided with your child’s name, address, and telephone listing unless you advise yourchild’s school not to release their information to any military recruiter.Directory Information is defined as: student’s name; address; telephone number if listed; current or mostrecent schooleducational agency or institution attended; major field of study; date and place of birth;weight and height of members of athletic teams; degrees, honors and awards received; participation inofficially recognized activities and sports; and, images, including photographs and videosgrade level; andstudent ID number, user ID, or other unique personal identifier used to communicate in electronic systemsthat cannot be used to access education records without a PIN, password, etc., (a student’s SSN, whole orin part, may not be used for this purpose)..Under the provisions of the Family Educational Rights and Privacy Act, you have the right to withhold therelease of the directory information listed above. If you decide you do not want the school to release theinformation listed above, any future requests for the “directory information” will be refused. Pleaseindicate here your request to withhold the items listed above. You may request that directory informationnot be released except for having your child’s name and photograph appear in the school yearbook.I do not want my child’s directory information released, including but not limited to any militaryrecruiter.I do not want my child’s directory information released except for the following purposes: school yearbook school website school newsletter and newspapers school newscasts newspaper articles about students and schools television stories about students and schoolsParent Name:Parent Signature:Student Name: Student I.D. #:School Name: Grade: Date:If this form is not received by the school principal by September 2, 20110, it will be assumed that theabove information may be released. Please note that, notwithstanding the completion and submission ofthis document, directory information may be released to local, state, and federal law enforcement agenciesto the extent disclosure is permissible by the Family Educational Rights and Privacy Act.35Page 570