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RECORDS RELEASE FORM PARENTS NEED TO COMPLETE THIS FORM AND THEN TAKE IT TO THE CHILD’S CURRENT SCHOOL SECRETARY. ALL RECORDS MUST BE RECEIVED AND REVIEWED BEFORE A DECISION IS MADE ON STUDENT ACCEPTANCE INTO PURCELL MARIAN HIGH SCHOOL.

Student Name:______________________________________________________________________

Date of Birth: _____________

Current Grade:___________

Current School: _____________________________________________________________ The following student is seeking admission to Purcell Marian High School. Please send the following records to Purcell Marian High School as soon as possible via fax or email. Incoming Freshman: 6,7,8 grade report cards Standardized Test Scores Discipline & A�endance Reports IEP/ETR/ISP (if applicable for SSST/Special Ed.) Other wri�en accommoda�ons Other teacher/administra�ve notes

High School Upperclassmen Transfer: Official Transcript from Current School Standardized Test Scores Discipline & A�endance Reports IEP/ETR/ISP (if applicable for SSST/Special Ed.) Other wri�en accommoda�ons Other teacher/administra�ve notes

I hereby authorize the release of school records for the above named student. Parent Signature: ____________________________________________________________________

Fax Records to:

Scan & email Records to:

Purcell Marian HS

admissions@purcellmarian.org

A�n: Office of Admissions 513-751-1395

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Records Release Form - 2019-2020  

Records Release Form - 2019-2020