1. OBJECTION TO RELEASE OF
  2. DIRECTORY INFORMATIONDESIGNATIONS


 
5500-E.2
 
WAYNE CENTRAL SCHOOL DISTRICT
6200 Ontario Center Road ·   P.O. Box 155 ·   Ontario Center, New York 14520-0155
 
 
OBJECTION TO RELEASE OF

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DIRECTORY INFORMATIONDESIGNATIONS
 

The school district has designated certain categories of student information as “directory information.” Directory information includes a student’s name, address, telephone number, date and place of birth, major course of study, participation in school activities or sports, weight and height if a member of an athletic team, dates of attendance, degrees and awards received, most recent school attended, class schedule, photograph, e-mail address, and class roster.
 
If you object to the release of any or all of the directory information listed above, you must do so in writing within 10 business days of receiving this notice. For your convenience, you may note your objections to the release of directory information on this form and return it to the Building Principal.
 
Please do not release directory information without my prior consent.

 
 
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(Parent/Guardian or Eligible Student Signature)          (Date)
 
 
ADOPTED: March 15, 2000

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