Release of Records

To Whom it May Concern:

Trinity Christian School has permission to request the student records for the following student:

First name

Last name

Birthday

Month

Day

Year

Please forward all school records including academic, medical, standardized test scores, discipline records, and psycological evaliations for proper placement and support. Also, please send any records pertaining to special education and social history.

By signing below, I am giving permission for the named student's records to be released at once from the following school(s):

School's Name

School's Location

Parent/Guardian Name

Parent/Guardian Signature

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Date

Month

Day

Year