Middle School Transcript Release Form

I hereby authorize Western Academy to release the middle school academic transcript, standardized test scores, and immunization record of my son to the high school(s) I checked below.
Middle School Transcript Release Form
Your Name*

FirstLast
Your Email Address*
example@example.com
Your Son's Name*

FirstLast
8th Grade Teacher*

Adam ThompsonDan Callahan
Select one or more High Schools where your son's documents will be sent to:

St. Thomas High SchoolStrake Jesuit College Preparatory **St. John XXIII College PreparatoryFrassati Catholic High SchoolCathedral High School **St. Pius X High SchoolSt. Thomas EpiscopalSt. Francis EpiscopalEpiscopal High SchoolHouston Christian High School **St. John School **The Kinkaid SchoolSt. Constantine SchoolSecond BaptistAristoi Classical AcademyMemorial Lutheran High School
** Denotes parents send documents directly to these schools

If there are other schools not listed above please enter them in the boxes below.
Other School Name #1
Other School Name #2
Other School Name #3
Other School Name #4
If you have any questions, please reach out to Nadine Heffernan, at nadine.heffernan@westernacademy.net or via phone at 713-461-7000
Parent Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty: