Parent Records Request Form

Please complete the form below. Required fields marked with an asterisk *

Parents please use this form to request records. All applicable records stated below will be sent to the custodial parent/guardian on file. Please use the “Other” option under Records Requesting and Notes sections to provide additional records needed and information pertinent to this records request, respectively. Please allow 24-48 hours for processing.

Please note: Parents/Guardians will need to fill out a records request form for each student.

Date of request *

Student Name *

Student's Date of Birth *

Student Grade Level *

Parent's/Guardian's Email Address *

Parent's/Guardian's Phone Number

Records Requesting

The following records will be sent to the Parent/Guardian. Please use the "Other" section to include additional records needed.

Unofficial Transcript (8th - 12th grade)Report CardsStandardized Test ResultsImmunization RecordsOther

Notes

Please use this space to provide additional information for this records request.

Please select how you would like to receive records *

Please note: Records contain confidential information (SSNs, DOBs, etc). By choosing to receive by email, you are authorizing Northland Christian School to use that form of delivery and Northland Christian School will not be responsible for any repercussions associated with this form of delivery.

US Postal MailFaxPick up in counseling office (Building 3)Email (I understand records will not be sent in a secured link or encrypted)

Please provide information needed to send records *

Mailing address, email address, fax number, etc

Confirmation Email

Parent Records Request Form

Parent Records Request Form

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