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Student Information Release Form

Please complete the form below. Required fields marked with an asterisk *

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Check One/ Marque la o las casillas:*

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DO NOT release student contact information to Military Recruiters/ NO revele la información de contacto del estudiante a los reclutadores militares.

DO NOT release student contact information to College/University Recruiters/ NO revele la información de contacto del estudiante a reclutadores de colegios o universidades.

DO NOT release student information to prospective employers./ NO revele la información del estudiante a posibles empleadores.

Student Name (REQUIRED)/ Nombre del estudiante (REQUIRIDO): *

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Date/ Fecha: *

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Parent or Guardian Name/ Nombre del padre o tutor: *

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Signature of Parent or Legal Guardian/ Firma del padre o tutor: *

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Email Address: *

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