Records Release and Permission Form

Records Release and Permission Form

Upon receipt of your completed Records Release Form, we will contact your child's current school to request a copy of his/her official transcripts. By signing this form, you are also giving JCDSRI permission to contact your child's teachers for more information.
Applicant Name*

First NameLast Name
School Name*
City*
State*
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Contact Person*
My child has applied for admission to the Jewish Community Day School of RI. I give permission for JCDSRI staff to contact my child's teachers and, if necessary, observe my child in his/her current classroom for admissions purposes.

Please send a copy of my child's school records/transcript, including all grades, cumulative reports, attendance, IEP, and any standardized or psychological testing, to:

Admissions Office, Jewish Community Day School of RI, 85 Taft Avenue, Providence, RI 02906
Parent / Guardian Name*

First NameLast Name
Parent / Guardian Signature*

Clear
Date

MonthDayYear
Date
Should be Empty: