Record Release Form
Please release all academic, health, and psychological and testing records of:
Name of Student
First Name Last Name Middle Initial
Date of Birth:
Last time in school:
Home School:
Name of last school attended:
School Street Name
City, State, Zip Code
To: Registrar ACADEMY OF CAREERS & TECHNOLOGIES CHARTER HIGH SCHOOL 6812 Bandera Rd. Suite #102 San Antonio, Texas 78238 Telephone #: (210) 226-7568 Fax #: (210) 226-8548
To: Registrar
ACADEMY OF CAREERS & TECHNOLOGIES CHARTER HIGH SCHOOL
6812 Bandera Rd. Suite #102
San Antonio, Texas 78238
Telephone #: (210) 226-7568 Fax #: (210) 226-8548
Parent/Legal Guardian Signature:
Date:
Student Signature if 18 or older
