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New Student Record Release Form

Please complete the form below. Required fields marked with an asterisk *

To Whom It May Concern:

I authorize:

School Name, Address, City, State*

Answer required for "School Name, Address, City, State"

To Release Copies of:

Student Name and Current Grade:*

Answer required for "Student Name and Current Grade:"

Please send all necessary academic, health, attendance, and any records for the above named student who is now enrolled here at St. Gregory the Great School. Thank you for your assistance.

By checking the box below, I authorize the release of records by the aforementioned institution to St. Gregory the Great School. *

Answer required for "By checking the box below, I authorize the release of records by the aforementioned institution to St. Gregory the Great School. "

I Authorize

Parent/Guardian Name:*

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Today's Date:*

Answer required for "Today's Date:"

Confirmation Email

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