GREECE ATHENA HIGH SCHOOL
GREECE ATHENA HIGH SCHOOL RECORDS RELEASE FORM
You can mail completed form to: You can e-mail completed form to: You can fax completed form to:
Greece Athena High School angela.owen@ 585 581-8163 or 585 966-4039
Counseling Office
800 Long Pond Road Phone contact:
Rochester, NY 14612 585 966-4044
FORM MUST BE COMPLETED AND SIGNED. IT CAN TAKE UP TO 5 BUSINESS DAYS TO PROCESS.
_______________ _____________________________ _____________________
DATE LAST NAME (Maiden) FIRST NAME
YEAR GRADUATED __________ DATE OF BIRTH _______________
My signature below will authorize Greece Athena High School to send the following records:
Transcript ______ Health Record______ Test Scores______
Send My Records To:
__________________________________________________________________________________________________
_________________________________________________________________________________
______________________ ______________________________ ___________________________
Signature if over 18 OR Signature of Guardian Phone contact
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