Parent Authorization for Release of School Records



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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:




Address:




City/State/Zip:




Telephone Number:




Fax Number:



I hereby authorize the release copies of records listed below to Montessori School of Mauldin:



  • Transcripts

  • Attendance & Behavior Records

  • Immunization Record

  • Standardized Test Results

  • Psychological Test Results, etc.




Student’s Name:

Date of Birth:

Grade:




























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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