Joel E. Barber Request of Records Form
Student full LEGAL name *
Student's Grade *
Student's Date of Birth *
Name of Previous School with City and State *
Email (or phone) of school contact for records *
By signing this form, I understand that this transfer is provided for in the Family Educational Rights and Privacy Act of 1974, as amended June 17, 1976. The new regulations no longer require an acknowledgment for the parent or eligible student that he or she has received notification before records may be released to other educational institutions. *
As the parent/legal guardian of the above-listed student, I give permission for the institution above to transfer records for the above-named student to the Laclede County C-5 Joel E Barber School District. This is a one-time records request. My electronic signature is my acknowledgement and agreement that my child's educational records will be requested. Please type your name below. *
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