Flyer Approval Request Form
Flyer Approval Request
Date of Request   
Organization Name    
Contact Name            
Zip Code
Phone Number
Email Address
Are you Tax ExemptYes    No
(Please provide a 501 3(c) letter to the Superintendent's Office)

I/We hereby assure the school/school district that the organization will:

  • Not use fighting words, obscenities, defamatory speech or encourage disruption of the educational environment.
  • Not provide representations or visuals that are inappropriate as described in The Children's Internet Protection Act.
  • Remove the material on the date certain not more than one (1) month after it has been displayed/posted/stacked or five (5) days after the activity begins, whichever is earlier.
  • Label the material with the name of the sponsoring organization.
  • Provide the name address and telephone number of the local representative for the organization prominently on the promotional material. 
  • Have an authorized representative of the organization sign the written assurances.
  • Agree that any changes for the instruction/activities will be based on and not exceed the cost of providing the instruction/activiites.
  • Have the following disclaimer placed on the matherials. "The Liberty Elementary School District No. 25 neither endorses nor sponsors the organization or activity represented in this document.  The distibution of this material is provided as a community service." 

By checking this box you assure that the information above is true to the best of your knowledge.

A copy (PDF format) of the proposed flyer needs to be electronically submitted to with Flyer Approval in the subject line.  





Security Measure