Building Bridges for today’s students to cross into tomorrow’s world with equity, innovation and optimism

N ya c k Hi g h Sc h o o l • 360 Christian Herald Road • Upper Nyack, NY 10960 Phone: (845) 353-7100 • Fax: (845) 353-7197 • Email: [email protected] Nicole Saieva Principal

Lucia Pichardo & George Teasdale Assistant Principals Peter Bradley & Victor Olmedo Deans of Students

September, 2017 Dear Parents and Guardians. Pursuant to the No Child Left Behind Act, Nyack Public School District must disclose to military recruiters and institutions of higher learning, upon request, the names, addresses and telephone numbers of high school students. The District must also notify parents of their right and the right of their child to request that the District not release such information without prior written parental consent. Parents wishing to exercise their option to withhold their consent to the release of the above information to military recruiters and/or institutions of higher learning must sign and return the form below to me by October 27, 2017. Sincerely,

Nicole Saieva Principal NS:bn ---------------------------------------------------------------------------------------------------------------------------------------Reservation of consent for the release of certain student information under the No Child Left Behind Act Please do not release the name, address and telephone number of _____________________________________ to military recruiters. (Parent Signature)

(Date)

Please do not release the name, address and telephone number of________________________________ to institutions of higher learning. (Parent Signature)

(Date)

If you would like information translated contact… Si ou bezwen enfòmasyon tradui an kreyòl, rele Jocelyne Abraham nan 353-7044. Si le hace falta información traducida en español, llame a Yesenia Polanco 353-7042.