NEWFANE CENTRAL SCHOOL DISTRICT



RELEASE OF RECORDS

Name of Student: ___________________________________ DOB: ____________

Please release information and records as indicated to the Newfane Central School District.

Official Transcript of Grades

NYS Intermediate Assessment Results

NYS Regents Scores

NYS RCT Scores

RTI Documentation

Science Lab Deficiencies

Health and Immunization Record

Attendance Records

Psychological Reports

Student Schedule

Special Education/IEP Records

Other State/Regional Test score

I give my permission for my child’s records to be released to the Newfane Central School District. Parent/Guardian Signature: ________________________

Federal Law 99.31 – No parent signature is required for educational records sent to another educational agency.

Please fax or mail records to the below indicated school (circled).

| | |

|Newfane Early Childhood Ctr. |Newfane Middle School |

|6048 Godfrey Road |2700 Transit Road |

|Burt, NY 14028 |Newfane, NY 14108 |

|716-778-6351 |716-778-6461 |

|Fax: 716-778-6868 |Fax: 716-778-6465 |

|Principal: Peter Young |Principal: Keith Crombie |

| | |

|Newfane Elementary School |Newfane High School |

|2909 Transit Road |1 Panther Drive |

|Newfane, NY 14108 |Newfane, NY 14108 |

|716-778-6376 |716-778-6564 |

|Fax: 716-778-6377 |Fax: 716-778-6565 |

|Principal: Holly Staley |Principal: Dan Bedette |

| | |

| |

|Newfane Special Education |

|1 Panther Dr. |

|Newfane, NY 14108 |

|716-778-6458 |

|Fax: 716-778-6467 |

|Director: Jennifer Bower |

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6273 Charlotteville Rd.

Newfane, NY 14108

Phone: 716-778-6351

Newfane Central School District

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