Dorothy Hamm Middle School Student NOT Returning for 2021/2022 School Year
*We still require a signed Release of Records from the students new school
Student's Last Name *
Student's First Name *
Student ID# *
Student's Grade Level for the 2020/2021 School Year *
NEW Home Address (to include city, state and zip code) *
NEW School's Name *
NEW School's Address (to include city, state and zip code) *
Type of School *
NEW School Contact Information (Name,Email, and/or Phone Number) *
Does the student have an IEP? *
Does the student have an 504 Plan? *
Parent/Guardian Name (First and Last) *
Parent/Guardian Phone Number *
Parent/Guardian Email Address *
Please type the following statement: I give DHMS permission to share any requested documents with the school listed above. *
Parent/Guardian Initials *
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