Student Records - Parent Request Form

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Please complete this form if you are a parent or guardian of a student attending or who has attended Hoosier Academies or Insight School of Indiana. If you are a school requesting records for a student transferring from Hoosier Academies or Insight School of Indiana please submit your request by clicking on this link. https://tinyurl.com/SchoolRequest

Email *

Person Requesting Records: (First & Last Name) *

Your Relationship to the Student: *

Best Contact Number: *

Mailing Street Address: *

City: *

State: *

Zip Code: *

How Would You Like to Receive These Documents? *

Fax # or Email Address to send records: (if applicable)

Student 1 Legal Name: *

Student 1 Date of Birth: *

YYYY

Student 1 Current School: *

A copy of your responses will be emailed to the address you provided.

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