Sacred Grove Academy
A Cover School run by Church of the Spiral Tree

Request for School Records Transfer

(DO NOT MAIL THIS FORM TO SACRED GROVE! Mail form to child's former school)

Pursuant to the state open records law, Ala. Code Sec. 36-12-40, I write to request access to and a copy of school records for the below-named person. If your agency does not maintain these public records, please let me know who does and include the proper custodian's name and address.

Please advise me of any copying and postage fees. I would request your response within ten (10) business days.

Please send records for:

Name: ____________________________________________________________
Social Security Number: ______________________________________________
Parent or Guardian's Name: ___________________________________________
Address: __________________________________________________________

_____________________________________________________________
Phone Number: _____________________________________________________

Please send records to:

Sacred Grove Academy
Patricia Greer-Middleton, Director
P.O. Box 3338
Phenix City, Alabama 36868
706-393-6451

Parent or Guardian's Signature: _________________________________________

Date: ________________________________

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