Directory Information - Opt-Out Form

The following Directory Information – Opt-Out Form allows parents, upon completion and submission of the form, to exclude their students information from being available outside the school district.  Below you will find the applicable privacy laws, both federal and state which allow for and describe your rights as a parent regarding your students personal information. We are willing to wager you didn’t even know your schools shared this information.  Click the button below for more information on Privacy laws

Optional Directory Information
Opt-Out Form



[Your School District] may have identified the following information (and perhaps other items) as directory information:

A. Student’s name, address, and parent’s telephone number and email address

B. Student ID number, user ID, or other unique personal identifier used to communicate in electronic systems but only if the identifier cannot be used to gain access to education records except when used in conjunction with one or more factors that authenticate the user’s identity, such as a PIN, password, or other factor known or possessed only by the authorized user

C. Participation in officially recognized activities and sports

D. Height and weight of members of athletic teams

E. Degrees, honors, and awards received

F. Dates of attendance/enrollment

G. Current grade level and teacher

H. Most recent school attended

I. Yearbook photos

Places where directory information may be shared include, but are not limited to: school social media, school-sponsored publications (i.e. yearbook, graduation program, athletic rosters, event programs, awards announcements, etc.), class/school directories, scholarship providers, etc.

If you AGREE to allow [Your School District] to release directory information about your student (or you, if you are an eligible student), you do not need to do anything.

If you DO NOT want your/your student’s directory information released, you must provide written notification to your student’s school principal. You may use this form or another form of written documentation to provide that notification. Please be aware that opting out of releasing your/your student’s directory information will likely deny the release of this information in all circumstances; parents/eligible students typically may not select items or circumstances under which some information may or may not be released. Once an eligible student or parent has made a request to deny the release of the student’s directory information, the request will likely be effective in successive school years, unless changed in writing by the eligible student or parent.  Please check the standards of your local district. 

By signing and returning this form to [Your School District], I formally state that  I DO NOT  grant permission to the District or my/my student’s school to release directory information about me/my student.

(Please enter your school Principal's name and email address. )
Please enter your email address so we can email you the submission and your copy of the signed form in PDF format.

Required Signature
I deny the release of my/my child’s directory information as indicated above.
                (Parent, Guardian or Eligible Student)