OPT OUT FORM
NO! NO! NO!
I do not want military recruiters to be given private information about my child!
In accordance with the No Child Left Behind Act 2001 and the Federal Family
Educational Rights and Privacy Act, the school is required to provide
information on my child to military recruiters, UNLESS I request in writing
that it not be provided. That request follows:
I request that you not provide information to military recruiters for the
student listed below: (Students age 18 and older can sign, if they wish.)
School district: ________OAKLAND UNIFIED SCHOOL DISTRICT_____________
Student Name: ___________________________________________________________
Grade: _______
_______________________________________________________________________
Student age 18 or older or Parent/Guardian (signature)
Return this form to the Counseling Office.
