RECORD RELEASE

RECORD RELEASE FORM

STUDENT'S INFORMATION

First name:*

Last name:*

Birth Date *

Grade Level*

Street address:*

City:*

State:*

Zip code:*

PREVIOUS SCHOOL*

Date*

Date

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