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Records Request Form
Please complete this form if your to request for a release of a student or for files of a student. 
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Email *
Requesting School *
Name of Requesting Staff *
Name of Student *
Student ID Number 
Grade *
Requested Withdrawal Date *
MM
/
DD
/
YYYY
Requesting Records? *
Reason For Withdrawal *
Location of New School  *
A copy of your responses will be emailed to the address you provided.
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