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APPENDIX B
ACKNOWLEDGMENT FORM
My child and I have received a copy of the Borden County I.S.D. Student Handbook for
2007-2008. I understand that the handbook contains information that my child and I may
need during the school year and that all students will be held accountable for their
behavior and will be subjected to disciplinary consequences.
Regarding student records, I understand that federal law and state law require that
"directory information" on my child be released by the district to anyone who requests it
unless I object in writing to the release of any or all of this information. The objection
must be filed within ten school days of the time this handbook was given to my child.
Directory information includes my child's:
1.
Name,
2.
Address,
3.
Telephone number,
4.
Date and place of birth,
5.
Photograph,
6.
Participation in officially recognized activities and sports,
7.
Weight and height of members of athletic teams,
8.
Dates of attendance,
9.
Grade level,
10. Enrollment status,
11. Honors and awards received in school, and
12. Most recent previous school attended.
In exercising my right to limit release of this information, I have marked through the
items of directory information listed that I direct the district to withhold about my child.
Student Name(s):
________________________ ________________________ _____________________
________________________ ________________________ _____________________
Student Signature(s):
________________________ ________________________ ______________________
________________________ ________________________ ______________________
Parent Signature: ____________________________ Date: _______________________
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