The Pipeline Program of Boys & Girls Clubs of the Tennessee Valley will maintain all student ﬁles in a conﬁdential manner. Pertinent information (i.e. all academic information, report card information or tutorial information) may be shared professionally with Pipeline staff members, or the school system child attends. Files for all programs grant funded in whole or in part are available for monitoring and subject to audit by the Boys & Girls Clubs of the Tennessee Valley grant program affiliates. Communication of student information to persons or agencies other than those listed above will require express written approval of the student’s parent.
A Pipeline staff person has explained the above information, regarding the release of information in my students file maintained by Pipeline of BGCTNV to me. I agree to the release of information to persona or agency as listed above. I understand that any release of information to personas or agencies other than those mentioned above will require my written approval.