RECORD RELEASE

RECORD RELEASE FORM

STUDENT'S INFORMATION
First name: *
Last name: *
Birth Date *
Grade Level *
Street address: *
City: *
State: *
Zip code: *
PREVIOUS SCHOOL *
Date *

Month Day Year
Date
I hereby authorize the release of my child's school records to Cathedral Christian Academy. *
Parent/Guardian type your name in the box above as your signature and/or sign below using using your finger.
Signature

Clear
Please forward all records to:

Admissions Office

Cathedral Christian Academy

4100 Frankford Ave

Baltimore, MD 21206
Should be Empty: