OHS Record Release Form
Requisition form for release of student information/records.

Odessa High School
713 S. 3rd Street
Odessa, MO 64076
PH: 816-633-5533 FAX: 816-653-4266
Registrar: Lorrie Sanders - lsanders@odessar7.net
Student's Name *
Current Street Address *
City & State *
Zip Code *
Student's Email Address *
Date of Birth *
MM
/
DD
/
YYYY
Graduation Year *
Maiden Name (if applicable)
Telephone Number *
Type of Record Requested? *
If "Other" was selected please describe.
Where would like your records sent? (Check all that apply) *
Required
If "Other" was selected please describe.
Name of College/School/Agency
Contact Person
Street Address of School or Agency
City, State & Zip Code
Phone Number
Fax Number
Email Address (College/School/Agency Contact)
How would you like these records sent? *
Permission to Release *
Required
Name of Requester *
Date of Request *
MM
/
DD
/
YYYY
Submit
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