Lemont-Bromberek CSD113A

Student Records: Directory Information Opt Out

DIRECTORY INFORMATION OPT OUT

Access to records by people other than parents without parental consent is generally prohibited. However, directory information about a student may be released without the parent’s/guardian’s prior consent. District 113A has determined directory information to include: student’s name, address, gender, grade level, birth date, and period of attendance in school; teachers’ names; parents’ names, postal addresses and e-mail addresses; academic awards and honors; and photographs, videos, or digital images used for informational or news-related purposes (whether by a media outlet or by the school) of a student participating in school or school-sponsored activities, organizations, and athletics that have appeared in school publications, such as yearbooks, newspapers or sporting or fine arts programs. The Family Educational Rights and Privacy Act (FERPA) provides parents, guardians and adult students the right to prevent disclosure of directory information. To prevent the disclosure of your child’s directory information, you must sign the “opt out” statement below.

Student’s Name: ____________________________

I DO NOT WANT DIRECTORY INFORMATION about my child named above released to anyone without my written consent. My signature below this statement indicates that my child’s directory information will not be released to educational, military or scholarship institutions, or any other individual or organization that requests this information.