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Saint Jerome Regional School 50 Meadow Avenue Tamaqua, PA 18252
REQUESTFORRECORDS
Dear,Thefollowingchild/childrenhaveappliedforenrollmenttoSt.JeromeRegionalSchoolforthe_________-________schoolyear.Werequireareviewofallrecordsbeforeacceptanceandarerequestingforthefollowingstudent(s): Grade: Grade: Grade:
Werespectfullyrequestthatyousendthefollowingrecords,atyourearliestconvenienceviafax:
-Student,CumulativeRecordCard-PsychologicalEvaluations-Health/Dental/ImmunizationRecords-DiagnosticTestingResults-DisiplineRecords/OtherRelevantData
Thankyouforyourattentiontothisrequest.
Sincerely,
AmyM.Hannis-Miskar,Principal
I,,herebyauthorizethereleaseoftheabovecheckedinformationconcereningmychild/childrentoSt.JeromeRegionalSchool.