Dupont Park Adventist School

The School with the Eternal Advantage

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Release of Records Form
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Release of Records Form

INITIAL REQUEST FOR RELEASE OF STUDENT RECORDS
I/We, the undersigned parent(s)/guardian(s) of

_________________________________________________________________
(Name of Student)
Do hereby authorize___________________________________________________________ 

                             ___________
_________________________________________________
                                                        (Student’s Current School and Address)
Transcripts (current at the time of application), testing records (including those from limited access file), immunization, health, other pertinent records (including psychological or behavioral information included in a limited access file) of said student to Dupont Park Adventist School’s Admissions Office.
Parent(s)/Guardian(s) have the right to review and obtain a copy of the above mentioned records that are kept on file at the Dupont Park Adventist School. A 24-hour notice period is required.


Signed:____________________________________________________ 
                                      Parent(s)/Guardian(s)

RECORDS TO BE MAILED TO:
Admissions Office
Dupont Park Adventist School
3942 Alabama Avenue, SE
Washington, DC 20020


 
 
Dupont Park Adventist School
3942 Alabama Ave S.E. | Washington, DC 20020