RECORD RELEASE

STUDENT'S INFORMATION
First name:
Last name:
Birth Date
Grade Level
Street address:
City:
State:
Zip code:
PREVIOUS SCHOOL
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
I hereby authorize the release of my child's school records to Cathedral Christian Academy.
Parent/Guardian type your name in the box above as your signature and/or sign below using using your finger.
Signature
Please forward all records to:

Admissions Office

Cathedral Christian Academy

4100 Frankford Ave

Baltimore, MD 21206
Should be Empty: