Member

Middle States Association

of Colleges and Schools

Member

Member

Roy C. Ketcham Sr. High School

99 Myers Corners Road

Wappingers Falls, New York 12590

(845) 298-5100

Fax (845) 298-5099

G. Thomas Stella, Principal

August 2009

Dear Parents/Legal Guardian,

On January 8, 2002, President Bush signed the No Child Left Behind Act (NCLB). This mandate has a provision that requires districts to provide, upon request, student names, addresses and telephone numbers to military recruiters.

To exercise your legal right to have this information kept private, you should use the form below to notify the school that you do not wish this information to be released. Please note that unless you use this “opt out procedure” the school district cannot refuse the military recruiters’ request and as a parent you and your child may be contacted by them at home.

If you DO NOT wish to have this information provided to military personnel, please complete the form below and return it no later than September 18, 2009.

If you have any questions, please feel free to contact me at 298-5100, ext. 104.

Sincerely,

G. Thomas Stella

Principal

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Return by September 18, 2009 to Darlene Seckler in the Principal’s office at

Roy C. Ketcham High School, 99 Myers Corners Road,

Wappingers Falls, NY 12590

We are exercising our right under the No Child Left Behind Act, and hereby request that the name, address and telephone listing of my child NOT be released to military recruiters.

Student Name Parent/Guardian Name

(Please Print Clearly) (Please Print Clearly)

Parent/Guardian Signature Date