Student Records Request

Required

THOMPSON FALLS ELEMENTARY

Where everything revolves around learning!

RECORDS REQUEST FORM

Date of Request:required

Must contain a date in M/D/YYYY format

Student Name required

First Name

Last Name

Student's Birthdaterequired

Must contain a date in M/D/YYYY format

Grade

School Name:required

Address Line 1:required

Address Line 2 (optional):

City, State and Zipcoderequired

Email address (if electronic copy is to be sent):

You may click SUBMIT below and this request will be emailed to:

Diane Hedahl at Thompson Falls Elementary.

Student Records may also be requested via mail at:

Thompson Falls Elementary

Attn: Diane Hedahl

206 Haley Ave W

Thompson Falls, MT 59873

Phone: 1-406-827-3592

Email: T FES@tfalls.org

Electronic Signature Agreement:required

I affirm that entering my name and phone number below and submitting this form constitutes an electronic signature of this form.

Signature:

Phone Number:

Must contain only numbers

Email Address

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