Student Release Request

Online Student Release Request Form

Requests for release must be made prior to the beginning of each school year. In accordance with district policy, transportation will be the responsibility of the parent/guardian.

Please print the name and grade of EACH student that you are requesting a release for:

Student's Full Name:

Grade 2023-2024: Insert the grade that your student will be in for the 2023-2024 school year.

Second Student's Full Name:

Grade 2023-2024 (second student):

Third Student's Full Name:

Grade 2023-2024 (third student):

Fourth Student's Full Name:

Grade 2023-2024 (fourth student):

Requester Name:

Relationship to Student(s):

Address:

City, State, Zip:

Home Phone:

Cell Phone:

Email Address:

Last School District Attended:

District to which you want to be released to:

Reason for Requesting Release:

By checking this box, I acknowledge that all the above is true and that I am requesting the release of the above students: (required)

Date: MM/DD/YYYY

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