North Adams Public Schools - Enrolling Transfer Release Form (One Per Student)
Please fill out the following information so that the North Adams Public Schools can send your child's previous school a request to release their records to us. Please use YOUR email address (Parent/Guardian).

Information/Records to be released include, but is not limited to, the following:

1. Transcript of grades and credits 5. Special Education records (including CURRENT IEP)

2. Current testing; name, score, grades, date given 6. Discipline records (Massachusetts State Law)

3. Massachusetts Basic Skills testing and SASID # 7. ELL screening and assessments if applicable

4. Health records 8. Other pertinent information
Email address *
Your child's FULL name (First Middle Last) *
Your child's date of birth *
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Street Address *
Best number to reach you during the day? *
Grade your child will be ENTERING *
Name and address of the last school your child attended *
School your child is being enrolled into (based on address for grades PreK to 6 - if you are unsure, please contact Bobbi Tassone at 413-776-1666 before submitting this form) *
By typing my name below, I authorize and give permission for my child's records to be released to the North Adams Public Schools. Please fax to the school indicated, and follow up with the full set of records by mail. This release is good for 1 year from today's date and can only be used for the intended purposes. (Chapter 71, Section 37L of the Massachusetts General Laws: A student transferring into a local system must provide the new school system with a complete school record of the entering student. Said record shall include, but not be limited to, any incidents involving suspension or violation of criminal acts or any incident reports in which such student was charged with any suspended act.) *
Your relationship to this child
Today's Date *
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