Release of School Records to Hunting Park Christian Academy (Entrega de registros escolares a Hunting Park Christian Academy)

Release of School Records to Hunting Park Christian Academy
Date *

Month Day Year
Previous School Name *
Street Address *

Street Address

City State

Postal / Zip Code
Phone *
Fax *
Student *
Grade *
Birth Date *

Month Day Year
I hereby give permission to the above named school to release all records including academic, medical, and confidential, on the above named student.

Por la presente doy autorización a la escuela arriba para la divulación de los registros sobre el estudiante arriba.
Signature of Parent/Legal Guardian *

Clear
Email *
example@example.com
Should be Empty: