Current Student Release Form

Required

Namerequired

First Name

Middle

Last Name

Grade

Phone Number

Email Address

In compliance with Massachusetts and Federal laws, written permission is required of a parent, legal guardian, or eligible student before any school records can be released to an outside agency, school, or college. Please check which school records can be released to an outside agency, school, or college. Please check which school records you would like sent. Your signature is required to process this form.

Choose from the following:

Transcript of Record

Most recent report card grades

Standardized Test Results

Health Records

Formal and/or Psychological Testing Evaluations which may be on file.

Please release my transcript to:

Name of Institutionrequired

Addressrequired

Cityrequired

Staterequired

Zip Coderequired

I would prefer the transcript to be sent via email.

Yes

Email Addressrequired

Signature of Parent/Legal Guardianrequired

Daterequired

Must contain a date in M/D/YYYY format

Your request will be processed. Mailed requests will be sent through first class USPS mail. We cannot confirm delivery times for first-class mail.