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Student Record Request
Note to Parents: After your acceptance to Sussex School, this form will be sent to your child's previous school. Please fill in the information below.

This constitutes an official request for a complete set of student records. The signature below indicates notice to and consent by parents or guardians for the release of student records. Please send all records, including cumulative records, transcripts, health and immunization records, and Individual Education Plans to:

Sussex School
1800 S 2nd St W
Missoula MT 59801
sussexoffice@sussexschool.org
Student Name *
Your answer
Student Date of Birth *
MM
/
DD
/
YYYY
Student Grade *
Last School Attended *
Your answer
Last School Attended Email *
Your answer
Last School Attended Phone Number *
Your answer
Last School Attended Mailing Address *
Your answer
Parent/Guardian Authorization: I authorize the release of the above requested information. Your name below serves as your signature. *
Your answer
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