Student Release Application

Complete separate applications for each student.
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question

    Release Information

    This is a required question
    This is a required question

    Signature Page

    I have read and understand the guideline and provision for the Student Release form. You will receive an email confirming completion of the request. Liberty School District will use the parent email on file. In the absence of an email, you will receive a phone call.
    This is a required question