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STUDENT REQUEST TO RELEASE HEALTH INFORMATION RECORDS NORTH HIGH SCHOOL ALUMNI ONLY I authorize Community High School District 99 North High School to release the following school record(s): ___ Health
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How to fill out student request to release

01
Obtain the student request to release form from the appropriate office.
02
Fill out the student's personal information including their name, student ID number, and contact information.
03
Specify the information that the student is requesting to be released.
04
Sign and date the form before submitting it to the designated office for processing.

Who needs student request to release?

01
Students who need to provide authorization for the release of their personal information.
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A student request to release is a formal application submitted by a student to obtain authorization for their educational records or information to be disclosed to a third party.
Students who wish to allow access to their educational records by parents, guardians, institutions, or any other party are required to file a student request to release.
To fill out a student request to release, students should provide their personal information, specify the records to be released, identify the recipient, and sign the form to authorize the disclosure.
The purpose of a student request to release is to grant permission for the sharing of a student's educational records with specified individuals or organizations.
The information that must be reported on the student request to release includes the student's name, student ID, details of the records to be released, recipient's information, and the student's signature.
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