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Authorization Release of Records

 

Handle: Document-24942
Owner: Shepherd, Kelly (User-186, 06916:EVERETT)DS
Tuesday, February 23, 2010 09:15:22 AM PST
Tuesday, June 28, 2022 02:22:52 PM PDT
Modified By: Diaz, Ailienette (User-392, 08810:EVERETT)DS
Locked By:
  • Everett Public Schools
AUTHORIZATION FOR RELEASE OF RECORDSPURPOSE OF AUTHORIZATION FOR THE RELEASE OF RECORDS: As a parent/guardian/adult studentyou have the right to give permission or not give permission for the release of student records with other persons or agencies.
  • I understand that the following information obtained will be treated in a confidential manner and will not be
transmitted to a third party without my permission.
  • We cannot place you in
the appropriate classes unless we have the most current andaccurate information regarding your former placement.
  • Please complete the reverse of this form and return it with the
enrollment packet.
  • This
will assist us as we r...
Allowed
Adobe Portable Document Format (.pdf) - application/pdf
Authorization Release of Records.pdf
No
4
104560
No
Appears In: Registration Information
Preferred Version: Authorization Release of Records