Past Student and Alumni Records Request Form

Past Student and Alumni Records Request Form

Complete this form to obtain official student records. Please complete all required fields to ensure timely processing.
Your Full Name

First NameLast Name
Your Email Address
example@example.com
Your Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Is the student requesting their own records?
PLEASE NOTE: In accordance with the Family Educational Rights and Privacy Act, once a student reaches 18 years of age or attends a postsecondary institution at any age, all rights to their educational records transfer from the parent/legal guardian to the student. Third parties cannot request records for students aged 18 and above.
Relationship to Student
Student's Full Name

First NameLast Name
Student Date of Birth

MonthDayYear
Is the student a Wildwood graduate?
Student's Year of Graduation
Student's Last Date of Attendance

MonthDayYear
Type of Records Requested

Other
Purpose of Request

Other
Preferred Delivery Method
Email Address for Records Delivery
example@example.com
Mailing Address for Records Delivery

Attn to: Individual/School/Agency

Street Address
CityState / ProvincePostal / Zip Code
Records will be available at Wildwood Middle and Upper School, located at 11811 W. Olympic Boulevard, Los Angeles, CA, 90064.
Additional Comments or Instructions
By selecting 'I agree' and signing below, I confirm that the information provided within this Student Records Request Form is accurate and that I am legally authorized to request these student records. Furthermore, I agree that my electronic signature is the legal equivalent of my manual/handwritten signature on this document, and I consent to be legally bound by its terms.
Signature
Should be Empty: