Academic Release

Please complete the form below to request Academic Records.

Student Information
Students Name*
First Last
Date of Birth
MM slash DD slash YYYY
Grade Level
Request type
Family / Parent information (for records to be released to)
Name
First Last
Address
Street Address Address Line 2 City State ZIP Code
Email
Phone
Fax Number
School information (for records to be released to)
School Name
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
School Contact Name
School Contact Email
School Phone Number
School Fax Number
Parent or Guardian of the Child
Name of Person Requesting Records:

Calo will only send records upon the request of parent or guardian of the child
Request Type
- Transcripts
- Good Standing Letter
- Old Copies of IEP's (Calo does not write IEP's- we reference IEP's written prior to students coming to Calo)
- Accommodation/modification letters
- Withdrawal grades
- Attendance Letters
- Shot Records
Specific medical records (List specifics)
Calo cannot submit records to schools or facilities without the written permission of the parent/guardian of the child. Calo is a Residential Treatment facility and is not a public school.
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Student Information