ࡱ>   Root EntryZ O2t7CONTENTS &CompObjVse any of the above _______ 3) Call for permission to release any information________________________ Telephone Number _______ 4) Permission is granted for release of all information _______________________ ____________________________ _______________ Student s Name Parent s Signature Date 4.L"$| ~ *   b d *,z|,.(*>@Bnnnn(2"'( ) @S 2'(  2'( N4"3, "Pq "2'( $O .VX"$ * @ N &:X,X,,* " $ & " $ , "" $ $" $ , ")" $ , "" $ , "|" $ ( "|" $ ( "" $ <& "PS" $  " $" $ & " $  @dTSH AdTSH " " tt<JEdONT,Times New RomanArial " " "XXceH\\gabriel\FS-C5016NdXXdPcK&H o --$-7$o --$-7$000000004!*4!*dd ? ?CHNKINK &TEXTTEXTFDPPFDPPFDPCFDPCFDPCFDPCSTSHSTSHSTSHSTSH2SYIDSYIDPSGP SGP dINK INK hBTEPPLC lBTECPLC  FONTFONTPSTRSPLC :PRNTWNPR. FRAMFRAM:$TITLTITL$FDOP DOP %"ABBOTT MEMORIAL SCHOOL 56 NORTH COUNTY RD- NORTH ADAMS, MASSACHUSETTS 01247-9614 JOHN BARRY Ed. D. GREGORY D. BETTI SUPERINTENDENT PRINCIPAL (413) 664-9292 (413) 664-6023 Dear Parents, Under Department of Education regulations, the school may release for publication or viewing certain information concerning your child from time to time without first obtaining your consent, unless you indicate now that we should not do so. The information which may be released for publication or viewing includes the student s name, class, participation in officially recognized activities and sports, and honors and awards. Please sign below and return to the principal immediately. Thank you. ______________________________________________________________________________ Choose from 1, 2, or 3 if you wish to restrict any information. 1) Please do not release the following information for publication: _______ Student s name _______ Student s address _______ Student s listed telephone _______ Student s picture in newspaper _______ Student s participation in activities an/or sports _______ Student s honors and/or awards _______ Videotaped production of school activities /sports on local educational channel _______ Transmission of student pictures/information via other electronic media _______ 2) Do not releaXX0J,X< XXXXdPcK N&Confidential 1'winspool\\gabriel\FS-C5016NIP_192.168.8.67F"\""V"!"` "``""A."@"\""V"!"` "``"."Release of Student Information.wps"""p""pp , ")" $ , "" $ , "|" $ ( "|" $ ( "" $  Z O2Quill96 Story Group Class9q