|
|
|
|
|||
|
Board Secretary (Custodian) |
|||||
|
The undersigned desires to examine the following official education records. |
|||||
|
|
|
|
|||
|
|
|
|
|||
|
|
|
|
|||
|
|
|||||
|
(Full Legal Name of Student) |
|||||
|
|
|
|
|||
|
(Name of School) |
|||||
|
My relationship to the student is: |
|||||
|
(check one) |
|||||
|
|
|
I do |
|||
|
|
|
I do not |
|||
|
|
|
|
|||
|
desire a copy of such records. I understand that a reasonable charge may be made for the copies. |
|||||
|
APPROVED: |
|||||
|
Signature: |
|
||||
|
Title: |
|
|
|||
|
Dated: |
|
|
|||
