School Authorization Letter
[YOUR NAME]
[YOUR EMAIL]
August 8, 2050
Mr. David White
Principal
Riverside High School
2326 Colonial Drive, Caldwell, TX 77836
Subject: Authorization for Release of Information
Dear Mr. White,
I am writing to provide authorization for the release of information regarding my child who is a student at Riverside High School. I authorize the school to release relevant academic and personal information to the following individual or organization:
Dr. Michael Green, representing Horizons Education Services, can be contacted at 979-200-3363.
The information to be disclosed includes, but is not limited to, academic records, transcripts, attendance records, health and medical information, and any other pertinent details regarding my child.
This authorization is effective from August 15, 2050, until February 15, 2051. I request that all information be handled with the highest degree of confidentiality and used only for the intended purposes.
If there are any questions or if further information is required, please feel free to reach out to me at [YOUR EMAIL] or 979-567-2180.
Thank you for your attention to this matter.
Sincerely,
[YOUR NAME]
[YOUR EMAIL]
979-567-2180
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