Record Release and Confidentiality 2021-2022
Please read and sign this form
Student Information
The following student has enrolled at Holy Cross School:
Student's Name:
First Name
Middle Name
Last Name
Current Grade
Birth Date
School Last Attened
*
I authorize the release of said student's school records (cumulative file)-including official transcript, standardized testing, immunization records and blue immunization card. I understand that the above named records are confidential.
Signature
*
Submitter's Email
*
example@example.com
Date
Submit
Should be Empty: