Deer Crossing Elementary Classroom Directory

Deer Crossing Elementary School is publishing a free Classroom Directory to help cultivate our school community. This directory is intended solely for the personal use of families, students, and staff to facilitate communications, social interactions, building your community channels and relationships outside of school. This Classroom Directory will be organized by classroom teachers.

Please complete this form by October 16th.

The directory will be available by the end of October.

By signing below, you authorize Deer Crossing Elementary School to include the following information provided by you in the classroom directory. All information fields that are optional allows you to choose the information you feel comfortable sharing. Any field left blank will be blank in the directory.

If you choose to complete this form or choose to not complete this form, you will still have access to the Directory for your student(s) classroom. If your student has two classroom teachers or have children in different classrooms, you will receive the Directory for each classroom.

Please complete 1 form for each student.

Student's Name Student's Name First Last
Student's Grade Level
Teacher's Name
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code
#1 Parent and/or Guardian Name
#1 Parent or Guardian Phone Number #1 Parent or Guardian Phone Number - ### - ### ####
#1 Parent or Guardian Email Address
#2 Parent and/or Guardian Name
#2 Parent or Guardian Phone Number #2 Parent or Guardian Phone Number - ### - ### ####
#2 Parent or Guardian Email Address
Restricted Access: The directory will only be distributed to registered families, faculty, and staff of Deer Crossing Elementary School. It will not be made available to the general public.

Prohibition of Commercial Use: You agree that the information contained in the directory will be used strictly for non-commercial, school-related purposes. You explicitly agree not to use, share, or sell any information in this directory for commercial solicitation, marketing, political campaigning, or any other mass-distribution purposes.

Data Security & Digital Integrity: The directory is being distributed in a digital format, you agree not to post, upload, or share the directory online, on social media platforms, or in any public digital forum.

Revocation of Consent: You have the right to opt out of the directory or revoke this consent at any time. To withdraw your information, you must submit a written request to the school administration.

I have read and understood the terms of this Classroom Directory Information Release. By signing below, I certify that I am the legal parent or guardian of the student(s) listed, and I grant Deer Crossing Elementary School permission to disseminate the information selected above in the classroom directory. I agree to abide by the restrictions on the use of the directory outlined above.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.