Request for Release of Records – White Rock Montessori

Parent Instructions

Progress Reports and Standardized Test Scores are shared with parents every year.

Beginning in 2017-2018, Progress Reports are available through your parent portal on MontessoriCompass.com. Please reference your records for copies.

Applicant/Student's Name*

First Last Preferred Name

I hereby authorize the release of the following information from White Rock Montessori:

If "other", please list/describe here:

Who would you like the information sent to?

Name of School

Contact Person's Name

First Last

Email Address

Phone Number

Fax Number

Mailing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

If it would be beneficial for the school to communicate with additional people who are working with your child.

Name

First Last

Email

Phone Number

Fax Number

I authorize the release of the information indicated from White Rock Montessori.

Your Name

First Last

Your Email Address