To the Parent: Please complete this form, being sure to sign and date it. You may send it to the school(s) from which you are requesting records yourself, or return it to us so that we may forward it. Schools require an authorized release before forwarding their records. Please act promptly to help ensure that your child’s application file is completed in a timely manner. We need to receive the transcript from your child’s current and previous schools before scheduling your child’s admissions visit.
To the School: Upon receipt of this document, please forward a copy of all records, including transcripts, standardized testing scores, disciplinary records, and health and immunization records to Mountaintop Montessori via the contact information below.
Child's Name
Date of Birth (yyyy-mm-dd)
School Name
School Address
Current Grade
Number of Years Attended
Parent Name
Parent Email
Parent Address
Today Date
I hereby authorize the release of all records concerning the above named student to Mountaintop Montessori.
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