• Consent to Release Private Data

    Consent to Release Private Data

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  • The information to be released:

    • Official administrative record (name, address, head of household, classes taken, transcript/grades earned, attendance records, grade level completed)
    • Standardized test results
    • Teacher, Counseling, Staff Observations
    • Discipline file
    • Academic and behavioral supports (if applicable) - IEP, Special Education records
    • Health Records
    • Psychiatric/Psychological reports

    Please send information to the following address. Thank you.

    St. Mary's Catholic School

    Attn: Tom Haire 219 North 4th Street

    Breckenridge, MN 56520

    Phone: 218-643-5443

    Email: thaire@stmarysbreck.com

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