Sample Emergency Card Opt Out Forms
In an excellent example of how the method for informing students of their right to Opt Out can significantly increase Opt Out rates, the Pajaro Valley Unified School District and Santa Cruz City Schools made it clearer and easier for parents to opt out their kids by adding the following text to their Emergency Information Card:
RELEASE OF INFORMATION TO MILITARY RECRUITERS:
Your child's name, address and phone number WILL be released to military recruiters UNLESS you specify here that you want this information withheld.
__ DO NOT release my child's directory information to military recruiters without my prior written consent.
Or, if you want to have an Opt Out form that also lists other groups besides the military, you can use this form that a school board member drafted:
RELEASE OF INFORMATION TO MILITARY RECRUITERS OR OTHERS:
Your child's name, address, and phone number WILL be released to military recruiters or other possible requesters such as news/media, institutions of higher education, employers/potential employers, etc. UNLESS you specify here that you want this information withheld.
__ DO NOT release my child's contact information to military recruiters without my prior written consent.
__ DO NOT release my child's contact information to the following without my prior written consent: __________________________________.
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Opt out of the Pentagon's database and your school's military recruitment list.
Download Pentagon and High School Opt Out forms, flyers, factsheets, kits and other materials.
Write letters to officials who can help protect kids' privacy from Pentagon recruiters.
Learn everything you need to know to help your local schools do it right!
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