Release of Student Directory Information – Opt Out
From time to time the North Colonie School District publishes information and/or student directory information material in print, non-print or electronic format. Such material could show a picture of your child (children) with the name and school identified.
If you prefer to opt out from releasing student directory information, please sign the form at the bottom of this page and return to:
Central Registration Office
91 Fiddlers Lane
Latham, NY 12110
If we do not receive this form, we shall assume that we have your permission to publish.
Thank you.
North Colonie Central School District
Latham, New York 12110
School Year _________
A. Pictures and Identifying Information:
I DO NOT GIVE PERMISSION for pictures and/or other identifying information about my child to be published by the school district during this school year.
Name _______________________________________________ Building ___________________________
Name _______________________________________________ Building ___________________________
B. “Directory” Type Information:
I DO NOT GIVE PERMISSION for North Colonie Schools to include “directory” type information such as name, address, honors and awards, participation in activities, dates of attendance and future educational plans.
Parent/Guardian Signature: _______________________________________________
Date: _________________