Policy JRA/JRC-E-2 Parent Opt-Out Form for Disclosure of Information to Military Recruiters

File: JRA/JRC-E-2

Parent Opt-Out Form

for Disclosure of Information to Military Recruiters

[ ] Please do not disclose my child’s/my name, address, telephone number or directory information to any United States military recruiters.

Parent/Guardian or eligible student

Signature ___________________________________________

Student’s name ______________________________________

Date _______________________________________________

Issued: August 9, 2005

Revised: January 27, 2009

Revised and recoded: September 23, 2014

Huerfano School District Re-1, Walsenburg, Colorado