RECORDS REQUEST

RECORDS REQUEST
TO:
(School Name when student last attended)*
DATE

MonthDayYear
Date
School Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
(School Phone Number)
This is to inform you that the student(s) listed below has/have enrolled at Big Rapids Public Schools on . Please release your cumulative records, health records, special education records, withdrawal grades (for middle school and high school students) and any other pertinent information that you might have regarding:
NAME OF CHILD*
GRADE*
PLEASE FORWARD RECORDS TO:
Brookside ElementaryRiverview ElementaryBig Rapids Middle SchoolBig Rapids High SchoolBig Rapids Virtual School K-12
THANK YOU!
This form will need to be signed by hand and sent to or taken to Big Rapids Public Schools Central Office
21034 15 Mile Road
Big Rapids, MI 49307
(231) 796-2627
BIG RAPIDS PUBLIC SCHOOLS
Should be Empty: