Bishop John Carroll Cathedral School

1100 NW 32nd St, Oklahoma City, OK 73118
(405) 525-0956

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Request for Records Release

- Admissions

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- Student's Full Name (first, middle, last) REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth (mm/dd/yyyy) REQUIRED Please fill out this field. Please enter a date.
- Parent/Guardian e-signature REQUIRED Please fill out this field. Please enter valid data.
- Parent's Email REQUIRED Please fill out this field. Please enter an email address.
- Last School Attended Information:
- Name of School REQUIRED Please fill out this field. Please enter valid data.
- Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- School's Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- School's Fax Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Name of School Personnel we can contact REQUIRED Please fill out this field. Please enter valid data.
- School Personnel Email REQUIRED Please fill out this field. Please enter an email address.
- I understand that the following records on my student will be requsted: cumulative record, achievement test scores, attendance records, immunization record, special education records (including IEP and evaluations or confidential records) and any other relevant information such as behavioral observations or recommendations concerning placement.
  
  According to the Family Rights and Privacy Act, June 17, 1976, parent permission is no longer required when records are requested.
  I Understand Please select this field.
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