Add School Info to Release of Information Request

Instructions

Please enter the email and the address of the school that will be receiving the consent for release of information.

The information below is what the parent / guardian submitted, if any of the fields need updating, now is the time to do it, otherwise submit the form and the PDF will be automatically created and sent to the email specified in the ‘School Email’ field.

"*" indicates required fields

School Receiving Information Request

Email - School Receiving Information Request*

Address - School Receiving Information Request*

Street Address Address Line 2 City Province Postal Code

Information Submitted by Parent / Guardian

Parent / Guardian Name

Student Name

First Last

Student Birthdate

This field is hidden when viewing the form

Signature URL

Add School Info to Release of Information Request

Instructions

School Receiving Information Request

Information Submitted by Parent / Guardian

Navigate-NIDES – Mailing Address:

Navigate-NIDES – Phone / Fax: