TRANSCRIPT REQUEST

Transcript Request (please indicate the number of transcripts required) *
In accordance with the Family Educational Rights and Privacy Act of 1974, 20 U.S.C. § 1232g, Beaumont School policy prohibits the disclosure of information contained in a student’s education records to third parties without the express written consent of the student or former student. The individual named herein, or her guardian/authorized legal representative, consents to and authorizes the disclosure of her education records to the parties as indicated in the form above. In submitting this form and authorizing the release of education records, the individual attests that he or she has the authority to authorize such a release, and hereby releases Beaumont School, its officers, trustees, employees and agents, of any liability for the use, misuse or redisclosure of information contained in her education records by parties to whom the individual authorizes the disclosure of such information, or any other person to whom such parties redisclose such information. *
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Beaumont School 3301 North Park Blvd, Cleveland Heights, OH  44118   www.beaumontschool.org
Please email bfavret@beaumontschool.org with any questions