School Directory Opt Out

SCHOOL DIRECTORY OPT-OUT FORM
Mountain Laurel Montessori School provides an online School Directory for all parents/guardians. The School Directory includes the following information:
- Classroom Rosters
- Student Name
- Student Birthdate
- Parent/Guardian Names
- Parent/Guardian Addresses
- Parent/Guardian Phone Numbers
- Parent/Guardian Email Addresses
To opt out of the School Directory, complete the section below.
I Parent First Name* Parent Last Name* do not permit my family to be included in the School Directory.
Email*
example@example.com
Child*

First NameLast Name
Child

First NameLast Name
Child

First NameLast Name
Child

First NameLast Name
Parent/Guardian Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty:

SCHOOL DIRECTORY OPT-OUT FORM