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

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