*
Required
Student Name
*
required
Student Grade*
11th Grade
12th Grade
Parent/Guardian Name
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required
I understand the federal No Child Left Behind Act of 2001 and Minn. Stat. 13.32, Subd. A Military Recruitment, and request that information on my child not be released to military recruiters.*
Yes
No
Typed Signature of Parent/Guardian
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Today's Date
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(mm/dd/yyyy)
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