HHS  PARENT  NON-­‐DISCLOSURE  FORM  2014-­‐2015
If  you  do  not  want  your  child's  information  in  the  school  directory,  please  complete   the  form  below  and  return  it  at  REGISTRATION  or  by  September  15 th ,  2014  to  the
front  office.    No  information  will  be  made  available  to  the  military  or  outside   advertisers.
Child's  Name  (PRINT)  ________________________________________________   Grade_________
Parent's  Name  (PRINT)  ______________________________________________
Parent's  Signature  (or  Child  if  18)  _________________________________________________________
*If  the  student  is  18  years  of  age  or  older  they  may  sign  the  form  themselves.