Records Release Form 24-25

Manhatan Catholic Schools

306 S. Juliette

Manhattan KS 66502

Phone: 785-565-5050

email: mcsoffice@manhattancatholicschools.org
RECORDS RELEASE FORM
School Previously Attended*
Street Address*
City, State, Zip*
Phone*
Office of the Principal, Please send cumulative records such as health forms, testing, grades and transcripts that you have for the following students. Also include any information on current IEPs, ESL, or Title I services.
Student Name*
Grade*
Student Name
Grade
Student Name
Grade
Student Name
Grade
Mike Hubka Principal of Manhattan Catholic Schools.
I give consent for release of the above requested information.
Date*

MonthDayYear
Date
Signature

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