Date: ____________________________

[superintendant's name]
Superintendent of Schools
[____________]School District
Address of school district
City/State/Zip

Dear [Superintendent's Name]

If my child, _________________________ is a witness to, or if his/her involvement is suspected in any incident in your schools that would warrant suspension or other disciplinary action for my child or any other child, I am to be immediately notified.

Phone:	____________________________

Fax:	____________________________

Cell Phone:	____________________________

Pager:	____________________________

Email:	____________________________

The ___________ School District, its employees or agents acting on their behalf, including on-site police officers, do not have my permission to search, question or suspend my child without my knowledge, presence or participation. My child has been told not to sign any documents or answer any questions without first obtaining permission from me.

This letter is to be filed in my child's permanent school record.

Sincerely yours,

__________________________________________
Name

__________________________________________
Address

__________________________________________
City/State/Zip