Release of Records Request Form

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Release of Records Request Form

By completing the form below, you are giving the EVSC approval to release and or discuss a student's educational records with another person or entity. This request is valid for one school year.

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* Indicates required question

Name of Parent/Guardian (Student name if 18 years of age or older) *

Your answer

Student Name *

Your answer

Parent Phone Number *

Your answer

Parent Home Address

Street Address *

Your answer

City *

Your answer

State *

Your answer

Zip Code *

Your answer

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