Parent Request for Student Records

Parent Request for Student Records
Today's Date *

Month Day Year
Date
Campus *

Coppell Irving
Student Name *

First Name Last Name
Student Grade *
Parent Name *

First Name Last Name
Parent Phone Number *

Area Code Phone Number
Relationship to Student *
Please upload valid ID *

Browse Files

Cancel of
Reason for request (please be specific): *
Please check the following items needed from the student's file: *

Copy of Birth Certificate Copy of most recent Report Card Copy of most recent Test Scores Copy of Immunization Copy of Social Security Card Verification of Enrollment (letter)
I acknowledge that I have received records at no charge for my student. I understand that any future sets of records will be given at a charge of $15 each. *

Yes, I acknowledge
Parent Signature *

Clear
Should be Empty: