The undersigned hereby authorizes the Schleswig Community School District to release copies of the following student records:
concerning:
Full Legal Name of Student: Date of Birth:
from to
(Name of Last School Attended) (Yr.(s) of Attendance)
The reason for this request is:
My relationship to the child is:
Copies of the records to be released are to be furnished to:
( ) to the undersigned
( ) to the student
( ) other (please specify)
A parent or eligible student has the right to review their child's/own records, and are encouraged to do so.
(Signature)
Date:
Address:
City:
State: Zip:
Phone Number:
Date Board Approved: 12/19/2017
Date Board Updated/Reviewed: 03/14/2022