Fannie Lou Hamer Freedom School

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Military Opt Out Form

Military Recruiting Opt Out

Please complete this part of the form if you do not consent to the release of your child’s information, name, address, and telephone number, to the military recruiters and institutions of higher education that request the information.

If you do not consent to the disclosure of this information, you must fill out the attached request form, and return it immediately to the school. Please note that the form gives you the option of consenting to the disclosure of student’s information to institutions of higher education but not to military recruiters, and vice versa. If you do not return the form, we will release your child’s information upon request. Thank you for your cooperation.

I am requesting that my student's name, address, telephone number, and email address NOT be shared with:
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