Parent Authorization for Release of School Records
This form will be submitted to the school where records/personal information are currently on file. In order for your child’s educational records to be transferred, please provide all of the information requested below.
Name of School:
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Address:
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City/State/Zip:
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Telephone Number:
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Fax Number:
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I hereby authorize the release copies of records listed below to Montessori School of Mauldin:
Student’s Name:
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Date of Birth:
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Grade:
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Signature of Parent/Guardian: ______________________________________
Date: _________________________
Please Mail or Fax Records to:
Montessori School of Mauldin
205-B East Butler Rd.
Mauldin, SC 29662
Fax: (864) 288-8207
205 B. East Butler Road, Mauldin, South Carolina 29662 • 864.288.8613 • Fax: 864.288.8207 www.montessorischoolofmauldin.com
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