File:† JRA/JRC-E-2

 

 

 

 

 

Opt-Out Form

for Disclosure of Information to Military Recruiters

 

[]† Do not disclose my childís/my name, address, telephone number or directory information to any United States military recruiter.

 

††††††††††††† Signature of parent/guardian

††††††††††††† or student __________________________________________

 

††††††††††††† Studentís name______________________________________

 

Date_______________________________________________

 

Adoption date: September 22, 2014