This is to certify that __________________________________, the parent/legal guardian of the child/ren listed below do hereby request that the educational records, any educational plan or PET file, of the below listed child/ren be transferred to St. Joseph's Parish School from:

(Name & address of school last attended)

__________________________________

__________________________________

__________________________________

__________________________________

Parent/legal guiardin priveleges and obligations under the Family Education Rights and Privacy Act are:

Notification of the transfer

If desired, a copy of the records may be obtained with cost of copying provided by parent/legal guardian.

An opportunity for a hearing to challenge the content of the records be provided.

I have been informed and understand my rights regarding the transfer of pupil records.

Parent/guardian's signature: _________________________________ Date: __________________________________

Child/rens' name(s): ____________________________________________________________________

*Parental permission is no longer required when records are requested by authorized school personnel. (Family Education Rights and Privacy Act, Final Rule on Education Records, Federal Register: June 17, 1976 Volume 41, No. 118; Pg. 24673.) However, since some schools still request this, we are using the above form.