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
2. Please release ALL records. This includes, but not limited to:
Standardized Test Scores
Evaluation Team Report
3. This form gives CDA authorization to contact via email, phone or text the student’s current school and teacher(s) for additional information.