Consent to Release Students Information2022-09-05T10:23:38+00:00

Consent to Release Students Information Form

"*" indicates required fields

All information pertaining to this document is confidential. Kasa High School will not disclose other than “directory information” about students to people outside the High School unless the student has given written consent or in certain other cases permitted by law and High School policy. You may choose to grant the High School the right to disclose education records to certain individuals in accordance with the High School policy by completing this consent form. You have the right to revoke this consent at any time. Fill in your details in BLOCK CAPITALS only.
DD slash MM slash YYYY

PEOPLE TO WHOM KASA HIGH SCHOOL IS AUTHORISED TO RELEASE ACADEMIC RECORDS AND OTHER INFORMATION

Please provide information up to two (2) people

Person 1 Information:

If you do not have a Middle name please write N/A
If you do not have a Last name please write N/A
Example: Father,Mother,Brother, etc.
Address*

Person 2 Information:

If you do not have a Middle name please write N/A
If you do not have a Last name please write N/A
Example: Father,Mother,Brother, etc.
Address*
Please specify what type of information we can provide:*