WPC :h/u ߥ*,.| 0G_Fx ˑZ!jPT&J"#rv krm!|Rh% Anh6ʗ*+X_4mL8HL%?v4(; ]Ge$ZTeVy•E7ĎDq)vFCBC{.|a𔡙 ݕ)֠ڟ^ڙ>Y^yOg*hxdh؃RI^鎎y&"N C o j8T4zq4ǻ$:4蕿m\eD#fXB"~#J\H^gCxBLdUv9BN휅"p=(bQJLvOTF1omO=O;j̞FVPn-9J7$a &q7feИcvU 0 %" 0rEb4dUNxxxxxxxxxxxxxxxxxx B) `CG TimesX     3|Ip(J:$XpoXXXXpoXXXpo  )(9 Z 6Times New Roman Regular d :!XXXXXXXX   ,X  !XX RELEASEOFRECORDS XX! , @@(:PUBLICORPRIVATESCHOOL @ (,X,%%(  򀀀  Date  I,򀀀󀀀 0 ЀNameofParent/Guardiandoauthorize  򀀀 h  (   Nameofschoolattendedlastyear T   (   򀀀     (   Addressofschoolattendedlastyear    (   򀀀 \ 0   (   City,State,ZipCode H   toimmediatelyreleaseallacademic,health,andphysicalrecordsof򀀀 X Nameofstudent pD 򀀀,d;,XXDateofBirth  ЀXX,,d;Ԁ,d;,XXԀLastGrade#XX,,d;S#  򀀀  Addressofstudent l 򀀀  City,State,ZipCode   \ To:        XXXXNoajhWebsterAcademyj  d"    6707PeckLakeRd.  |P#    Saranac,MI.48881  h<$ 򀀀  ( SignatureofParent/Guardian  ) NoahWebsterAcademyrequeststheimmediatereleaseofrecordsforthestudentherenamed.򀀀  5 PaulD.Wieland  t6 Headmaster d89 (,X,(8) ,xd8 tH9 InstructionstoParent/Guardian:PleasecompleteandreturnthisformtoNoahWebsterAcademy.Ifyourchildwashomeschooledlastyearbuthadpreviouslyattendedapublicorprivateschool,pleaseenterthatschoolontheblanksabove.IfyourchildisinKindergartenorhasonlybeenhomeschooled,pleasefollowtheinstructionsbelow. !X X @=( |  ! XX  |RELEASEOFRECORDS ; ?  # | X X #  KINDERGARTENORHOMESCHOOL XX  | '!@ ' IfyourchildisenteringKindergartenorhasbeenhomeschooledonly,NoahWebsterAcademywillprepareaCumulativeRecord(CA60)foryourchild.Tosatisfythe"ReleaseofRecords"requirementforenrollmentforanenteringKindergartener,wemusthavethefollowing(checkthestatementsasyoucompletethem): | X X ( & XX  |  1)0 copyofanofficialbirthcertificate(hospitalcertificatesarenotacceptable)o%C$E % %  | X XԀ ( & XX  |  2)0 animmunizationrecord(orsignedWaiver)[&/%F % %  | X XԀ ( & XX  |  3) aphotographofthestudent. G'&G Tosatisfythe"ReleaseofRecords"requirementforenrollmentforahomeschooledchild,wemustalsohavethefollowing: | X XԀ ( & XX  |  4)0 copiesofgradespreviouslyearned*)K % %  | X XԀ ( & XX  |  5)0 standardizedtestscores(iftaken)+*L % %  | X XԀ ( & XX  |  6)0 asamplingofworkcompleted,+M % %  | X XԀ ( & XX  |  7)0 thelastgradecompleted:򀀀.-,N % % Ѐ .{-O  (     0   ParentSignature:tt4%򀀀 /g.P ,  x x j% 7Z X XpParentSignaturep# XX  7Z#Ԁ