Request for Release of Transcript
THIS FORM IS FOR CURRENT MERCY HIGH SCHOOL STUDENTS 9th-11th GRADES ONLY

This form must be completed, signed and submitted to the Registrar before the records of the student may be released.
Email address *
I hereby authorize the release of my child's transcript to the following school(s):
Student First Name
Your answer
Student Last Name
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Year of Graduation
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Date of Birth
MM
/
DD
/
YYYY
Parent/Guardian First Name
Your answer
Parent/Guardian Last Name
Your answer
PARENTAL/GUARDIAN AUTHORIZATION OF RELEASE OF TRANSCRIPT: By entering your initials in the box below, you are effectively providing your signature, indicating that all the information on this form is true and accurate, to the best of your knowledge.
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Date
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A copy of your responses will be emailed to the address you provided.
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