Release of Information Form

The Horace Mann School PTA publishes a Student Directory and distributes copies to all families as a resource for the Horace Mann School community of students, families, and staff. Information is only used by the school and PTA to complete the directory and for Horace Mann School/PTA communication.

By completing AND SIGNING the form below, you indicate your willingness to be included in the directory. If you do not complete the form, you cannot be included in the directory.

You should submit one form for each child attending Horace Mann School. Please complete this form and submit as soon as possible to ensure your information is accurate.

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* Child's First Name (Include preferred nickname if desired)

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* Child's Last Name

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* Family Info

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* Family Info

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* E-SIGNATURE (Parent's initials- required)
If you would prefer not to be included in the directory, please type "OPT OUT" after your initials

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* **NEW** 
If your family owns a local business and would like to have it mentioned for no charge on the "Local Businesses of Horace Mann Families" page of the directory, please list it here. We want to give families the opportunity to support others in the Horace Mann community.

2001 Eleanor Ave * Saint Paul, MN * 55116
651.293.8965 * www.mann.spps.org
Questions or Concerns?
Contact Drew Johnson <drew.johnson10@gmail.com> *651.600.2317
or
Carley Odens <carleyodens@hotmail.com> *701.370.3200

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