Records Release Authorization - Incoming

---

Records Release Authorization

Student’s name: ________________________________________________________ Name of previous school: ________________________________________________ Address: _______________________________________________ City/State/Zip: ________________________________________________

Please release my child’s academic records, attendance records, physical and immunization records, and standardized test scores to: Wheaton Christian Grammar School 1N350 Taylor Drive Winfield IL 60190

_____________________________ Signature of Parent or Guardian

___________________________ Date

If applicable, please release special education evaluations (including speech and language assessments) and/or special education records, including educational assessments, initial testing reports, WISC report, annual reports, and student profiles.

_____________________________ Signature of Parent or Guardian

____________________________ Date

1N 3 50 Ta yl o r D r iv e • W in f iel d IL 6 01 90 • 6 30- 6 68- 13 85 • w w w. Wh ea t on C h ris tia n .o r g