Consent to Share Information Form

Consent to Share Information Form
From time to time, we are asked by parents if we can share the class directory with them so that they can arrange play dates and send special event invitations. Also on occasion our designated "class parent" has the need to reach out when arranging class events and projects.

In accordance with the PIPA (Personal Information Protection Act) we are required to ask for consent from each family to share their contact information for these purposes.

Please fill in the information areas below.
Student Name*
Class*
Please check the boxes that apply.*

I CONSENT to the sharing of my contact information for the purposes expressed.I DO NOT consent to the sharing of my contact information for any purpose.I understand that I can request to change this decision at any time.
Signature*

Clear
Date*

MonthDayYear
Date
Only classroom teachers and class parents will be provided with a list for those who have given consent. Please note that your information will not be shared for any other purpose than for what is described above.
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