Brownsville Independent School District Student Release Form

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Student Release
Please submit one response for each child enrolled in BISD. ** Access will not be processed without proof of guardianship**

Email *

Student Last Name / Apellido del estudiante *

Student First Name / Nombre del estudiante *

Student Middle Name

Student ID# / Identificación del Estudiante# *

Date of birth / Fecha de nacimiento *

YYYY

Grade Level in 2020-2021 / Nivel de grado en 2020-2021 *

Age of student / Edad de la estudiante *

Sex of student / Sexo del estudiante *

Female

Male

Prefer not to say

Current Address / Direccion *

Phone Number / Número de teléfono *

Emergency Phone Number / Número de Teléfono de Emergencia *

Select your campus in 2020-2021 / Seleccione su campus en 2020-2021 *

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