This form is MANDATORY and should be printed and returned to KHS by September 3rd, 2020

This form is an optional Family Educational Rights & Privacy Act (FERPA) Opt-Out Form for directory information, military recruitment and institutions of higher learning (Colleges).

**You can also click FERPA Opt-Out and complete a survey submitting your choice to opt out.

This is only required for students wishing to OPT-OUT.

This form is an optional Opt-Out for your student being photographed, videotaped or the use of their work displayed by the Kingston City School District.

**You can also click Photo Opt-Out and complete a survey submitting your choice to opt out

This is only required for students wishing to OPT-OUT

If you would like to receive 48-hour prior notification of pesticide applications that are scheduled to occur in your school, please complete this form and return it to the Kingston City School District IPM representative at: 918 Ulster Avenue, Kingston, New York 12401, fax it to 845-331-1180 or return it to KHS.

If you have questions please call Mr. Thomas Clapper at 845-943-3175.