LIVINGSTON

JUNIOR HIGH JUNIOR HIGH

Livingston Junior High FERPA Parent Notification Form
This form submits to Livingston Junior High only. Each student will require a separate notification form at their campus.

Livingston Junior High School

Student Name

Student Grade

Parent/Guardian Name

Phone Number

Parent/Guardian Email Address

Categories that MAY NOT be released

Directory Information will not be released, but photo may be released

Photograph will not appear in Yearbook

Photograph will not appear in any School Managed Social Media Platform

Digital Signature

Email a copy to

optional

Required Fields

District	Campus	Directory
	CAMPUS

LJH FERPA Parent Notification Form