CERTIFICATION: I hereby request the USD 378, Riley County School District and the Food Service Department to which I am applying accept this authorization to release confidential financial information to me, related to my school lunch account via the e-mail address listed below. I understand electronic mail is a less secure environment than the postal service. I understand regardless of whether or not I grant permission to have emails sent to me, my school lunch account information will be available to me via the Internet, where it can only be accessed with a secured sign-in procedure, using my family account number and a PIN. Faculty and staff of the Riley County School District USD 378 are not held liable for the release of information permitted by this agreement. This release form stays in effect until revoked by me in writing, or through e-mail notification, or verbal authorization. If I should leave or transfer from Riley County School District for any reason this release form is no longer valid.
Submittal of this Email Release Form constitutes consent.
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