PACE Academy Student Records Request

PACE Academy Student Records Request Form

6015 North Main Street, Columbia, SC 29203
Student's Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Last School District and School Attended
Current Grade Level:
Please send the following to PACE Academy(check all)

All Special Education RecordsImmunization RecordsDisciplineAttendanceGradesBirth CertificateAll Test ScoresHome Language SurveyCustody Agreement
Please check the circle below:

I herby authorize the above named school to forward all requested records for my child to PACE Academy
Parent Guardian Signature

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PACE Academy Student Records Request Form