Below is a sample Opt Out letter. Click here for letters specific to Springfield and Rochester Illinois schools.
regarding the
RELEASE OF NAME, ADDRESS, AND TELEPHONE NUMBER
School ____________________________________________
Date ________________
Student Name_______________________________________
Date of Birth _________
As a student you have the right to request that your private information is not released to military recruiters and others. Complete this Opt-Out form and give it to your Principal or School Administrator .
___ I request that this student’s name, address, and telephone number not be released to Armed Forces and Military Recruiters, or Military Schools .
___ I request that this student’s name, address, and telephone number not be released to colleges, universities, or companies seeking employees.
Signature of student
__________________________________________________
Signature of parent or guardian
__________________________________________________
Federal public law 107-110, section 9528 of the ESEA, "No Child Left Behind Act" requires school districts to release student names, addresses, and phone numbers to military recruiters upon their request. Students are then called at home by recruiters and pressured to join the military. The law also requires the school district to notify you of your right to Opt-Out from this by requesting that the district not release your information to military recruiters. The completion and return of this form serves as your request to withhold your private information.
Form provided by Coalition Against Militarism in Our Schools
http://www.militaryfreeschools.org
Contact info@militaryfreeschools.org or 626-799-9118 if you have questions.