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JLB-FRM2

Sharing Information With Other Programs

JLB-FRM2 

HOPKINTON PUBLIC SCHOOLS 

SHARING INFORMATION WITH OTHER PROGRAMS 

Dear Parent/Guardian:

To save you time and effort, the information you gave on your Free and Reduced Price School Meals Application may be shared with other programs for which your children may qualify. For the following programs, we must have your permission to share your information. Sending in this form will not change whether your children get free or reduced price meals.

• No! I DO NOT want information from my Free and Reduced Price School Meals Application shared with any of these programs.

• Yes! I DO want school officials to share information from my Free and Reduced Price School Meals Application with all Hopkinton Public School Departments charging fees.

The fees to which this may apply (If applicable) are bus transportation, parking, athletic, and tuition.  The waiver of fees for other school activities is at the sole discretion of the school principal as determined by the availability of funds.

Child's Name: ___________________________________________School:

Child's Name: ___________________________________________School:

Child's Name: ___________________________________________School:

Child's Name: ___________________________________________School:

 

Signature of Parent/Guardian: ________________________________________________________________________

Date:____________________________________________________________________

Printed Name:_____________________________________________________________

Address:_________________________________________________________________

 

For more information, you may call Allison Cafarella at (508) 417-9381 or e-mail at transportation@hopkinton.k12.ma.us.

Return this form to: Hopkinton Public Schools, Administration Building, 89 Hayden Rowe Street, Hopkinton, MA 01748  Attn: A. Cafarella