Records Request Form

Records Request Form

The River Grove office will use this signed form to request records from your child/ren's previous school.
Notes:
- An asterisk * indicates a required field.
- We recommend you do not complete this form on a phone -- use a computer.
Information for Student(s)
Date my child(ren) will start or re-enroll at River Grove: A Marine Area Community School*

MonthDayYear
New student(s)Re-enrollment(s) for the same school year
School Year*
If this is a re-enrollment for the same school year, we will send you a copy of your emergency contact information for confirmation or updates.
Student 1's full name (please include middle name)*

First NameMiddle NameLast Name
Student 1's birthdate*

MonthDayYear
Student 1's most recent grade:*
Student 2's full name (please include middle name)

First NameMiddle NameLast Name
Student 2's birthdate

MonthDayYear
Student 2's most recent grade:
Student 3's full name (please include middle name)

First NameMiddle NameLast Name
Student 3's birthdate

MonthDayYear
Student 3's most recent grade:
School District of Residence and Former School Information

If you have multiple children transferring to River Grove, and they attended different schools, please complete a separate form for each school.
Name of former/ temporary school:*
Address of former/temporary school*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
School's Phone Number

Area CodePhone Number
School's FAX Number

Area CodePhone Number
Notes
Parent/Guardian Signature

My signature on this form indicates my decision to have my child/ren attend River Grove: A Marine Area Community School and signifies my request that appropriate school records be forwarded from the past school or district to River Grove: A Marine Area Community School.
Signature

Clear
If you are not able to sign electronically with your cursor or touch screen, please contact the school office.
Full name used in the signature above *
Today's Date

MonthDayYear
Date
E-mail for parent/guardian*
This is the email address that the confirmation will be sent to. Please double check for accuracy.
The River Grove office will use this signed form to request records from your child/ren's previous school.
Should be Empty:

Records Request Form

Information for Student(s)

School District of Residence and Former School Information

Parent/Guardian Signature