Naviance Records Release and Payment Authorization 2024
I grant Lexington High School permission to transmit requested records (senior year transcript, LHS Profile, Counselor Statement) and I authorize high school officials to communicate with all colleges, schools, and organizations listed in my child's Naviance account.
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Email *
Senior Last Name *
Senior First Name, Middle Initial *
Senior Year of Graduation *
Senior Date of Birth *
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Senior's School Counselor *
I acknowledge that there is a $6 fee for each official transcript requested through my child's Naviance account. *
I acknowledge that once my child "requests transcripts" for specific colleges in their Naviance account, a transcript will be sent. For every requested transcript that is sent, I will be billed. If I would like a transcript request cancelled and it has NOT yet been set, I will contact the Registrar's Office immediately at jaronson@lexingtonma.org or khurley@lexingtonma.org. *
I acknowledge that I will be billed in the Spring of my child's Senior year by Lexington Public School's Central Office via the My School Bucks e-School payment center. *
I acknowledge that Financial Assistance for Transcripts may be applied for through the LPS Business Office (Ms. Adrian Leone, 781-861-2580 x68061; aleone@lexingtonma.org. *
I acknowledge that all payments are required in My School Bucks by May 14, 2024. *
By completing this form you are stating that you are the parent/guardian for this senior. *
Parent Last Name, First Name  (This section is considered your signature.) Students 18 years old may sign for themselves and do not require parent/guardian signature. *
Parent/Guardian email. *
Date signed *
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A copy of your responses will be emailed to the address you provided.
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