Directory Information Opt Out Form

Gives students or their guardians a way to request that details like name, address, and phone number stay out of the public school directory.

Use this template

Full Name

First Name

Last Name

Email Address

Phone Number

Address

Street Address

City

State / Province

ZIP / Postal Code

Reason for Opting Out

I want to opt out of sharing my directory information.

I confirm opt-out

Additional Comments

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