CHAPTER5rev.speciale.. - BCSD Static Server - Bakersfield City ...

(Place on school letterhead.)
REQUEST FOR STUDENT RECORDS
Neither The Federal Family Rights and Privacy Act of 1974 nor California law requires a school
forwarding student records to obtain parent permission to release the records. In compliance with
California Education Code Section 49068, the Bakersfield City School District will/has informed the
parents of their right to inspect, review, and challenge the content of the records of the following
students:
Student’s First Name / Middle / Last Name
Student’s First Name / Middle / Last Name
Student’s First Name / Middle/ Last Name
Birthdate
Birthdate
Birthdate
Grade
Grade
Grade
Please send records for the above student(s) to:
Name of School
Address
Bakersfield City School District
City__________________________________________________ State
Zip
Date
Signature
Principal/Registrar
PS-23
(8/03)
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