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Student Report Card Request for Pick up
This form can be used to request your report card for the courses that you completed at Talenta Academy.
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* Indicates required question
Email
*
Your email
Student Last Name:
*
Your answer
Student First Name ( & Middle Name if applicable):
*
Your answer
Student Address: Street No and Name (& Apt# if any).
*
Your answer
City
*
Your answer
Postal Code
*
Your answer
Student Cell Phone Number:
Your answer
Student OEN#:(enter 0 if unknown)
Your answer
Student Date of Birth:
*
MM
/
DD
/
YYYY
What Courses do you need the Report Card for?
*
Your answer
A copy of your responses will be emailed to the address you provided.
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