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Date:______________________                   

 

 

To Whom It May Concern:

 

 

I, __________________________________________________, parent/legal guardian of

 

___________________________________________________ do hereby give permission to

 

release my child’s (children’s) permanent records to myself.

 

Please mail the complete record or copy thereof to:

 

_________________________________________ Name

 

_________________________________________ Home School Name (if you use one)

 

_________________________________________ Street or PO Box Address

 

_________________________________________ City, State, and Zip                               

 

 

 

__________________________________________________________________________

Parent or Legal Guardian’s Signature                            Date

                                                                                                                                                           

 

If you should have any questions or need additional information you may contact me at my home

 

telephone number, _____________________________________.

 

 

Thank you in advance for your kind assistance in this matter.

 

 

Sincerely,

 

_________________________________(Parent or Legal Guardian’s Signature)