1. You are authorized to release the records listed below for the above named student to:
The CinDay Academy
11 Sycamore Creek Dr
Springboro, OH 45066
(P) 937.748.1991
Email: sboyle@cindayacademy.com
2. Please release ALL records. This includes, but not limited to:
Grades
Attendance
Health Records
Standardized Test Scores
Psychological Evaluation
Evaluation Team Report
I.E.P.
Behavior/Correction Reports
Birth Certificate
3. This form gives CDA authorization to contact via email, phone or text the student’s current school and teacher(s) for additional information.