TRANSCRIPTS ORDER FORM
Authorization for the Release of School Records

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By completing the form below you agree to the following:
In accordance with Family Education Rights and Privacy Act of 1974 and California State law, I hereby authorize the release of all school records, including grades, health records and any other developmental information regarding the pupil named below. Students under 18 must have a parent or guardian signature.

FEES
$5.00 for each transcript for graduates and former students.
$2.00 for each transcript for current senior students.
No charge for scholarships.

(Print Form to Order Transcripts in Person or by Mail )

STUDENT INFORMATION:
E-Mail:
Dates of Attendance:
First Name:
Middle Name:
Last Name:
Maiden Name:
Date of Birth:
Telephone:
SEND TRANSCRIPTS TO:
Name:
School or Employer:
Address:
City:
State:
Zip Code: