Bridgton Academy Transcript Request Form

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Please allow 1-2 weeks for delivery

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Last Name, First Name, Middle Initial *

Street Address *

City/Town *

State *

Zip *

Phone Number *

Graduation Year *

TOTAL NUMBER OF COPIES *

MAIL TO: (Full name and address of recipient IF different from student address) *

STUDENT SIGNATURE - The name typed on the signature line below indicates I am the graduate and person for whom the transcript was generated. Bridgton Academy is not responsible for unauthorized transcript requests. Signature below is mandatory for release of transcripts. *

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