Verification Of Student Admission Information (For Student Residing With Parent Or Guardian)/proof Of Residency Form Page 10
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13Directory information for all other purposes includes student’s name,
address, and grade level.
Parent Signature_______________________________________________________
Parent Name Printed____________________________________________________
Student Name _______________________________________________GR.________
Campus____________________________________
A parent is allowed to record their objection to the release of all directory information or one or
more specific categories of directory information.
Red Oak ISD should NOT release my child’s student directory information for ANY
reason.
Example: If you check the box, your student’s name will NOT appear in school
publications or local newspapers if he or she won an award. NOTE: If you check this box,
your student will not be included in the yearbook.
Red Oak ISD has my permission to use directory information for school-related
communications and publicity ONLY but ROISD may NOT release my child’s directory
information to any other requestor, political candidate or business. (Permissible uses:
yearbook, newsletters, district website, videos, PTO, Booster Clubs, press releases, etc.)
High School Student Only
Federal Law requires districts receiving assistance under the Elementary and Secondary
Education Act of 1965 (20 U.S.C. Section 6301 et seq.) to provide a military recruiter or an
institution of higher education, on request, with the name, address, and telephone number of
a secondary student unless the parent has advised the district that the parent does not want
the student’s information disclosed without the parent’s prior written consent.
I object to the release of my child’s name, address, and telephone number to a military
recruiter or to an institution of higher education.
Page | 2
REV. 7.8.2014
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