Student Directory Passive Parental Consent Opt Out Form

Policy Code: 
JO-E
Adoption Date: 
Tuesday, April 24th, 2012
Review Date: 
Tuesday, October 28th, 2014

STUDENT DIRECTORY PASSIVE PARENTAL CONSENT OPT OUT FORM

In compliance with the Family Educational Rights and Privacy Act (FERPA) and Utah State Law, the Iron County School District may disclose student directory information without consent, as long as an “opt out” opportunity has been provided to parents.  Directory information is defined as and includes: A student’s name, address, telephone listing, enrollment status (grade and school), e-mail address, and photograph, either electronically like on a school web page, or hard copy publication, e.g. a newspaper or yearbook.

If you do not want your student’s directory information disclosed, please indicate below on this form and return it to your student’s school. 

 

____________________________________________

                        School

 

____________________________________________                        _________________

                        Student Name                                                                                Grade

 

____ I DO NOT want my student’s directory information disclosed.

 

 

____________________________________________

                        Parent Name

 

____________________________________________                        __________________

                        Parent Signature                                                                        Date

 

Contents

Non-Discrimination Statement

Iron County School District is committed to a policy of equal employment opportunity and does not discriminate in the terms, conditions, or privileges of employment on account of race, age, color, sex, national origin, physical or mental disability, or religion or otherwise as may be prohibited by federal and state law.

School District Office

Hours 8 a.m. - 5 p.m. Mon.- Fri.
Address:
2077 W. Royal Hunte Dr.
Cedar City, Utah 84720
PH 435.586.2804  FAX 435.586.2815