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Rivendell Academy Transcript Request Form
Request an official transcript to be sent directly from Rivendell Academy of Fremont to a recipient you designate. Before completing this form, please submit your coursework to
rivendell.academy.fremont@gmail.com
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* Indicates required question
Student Full Name
*
Your answer
Student Birth Date
*
MM
/
DD
/
YYYY
Transcript Recipient Name
*
Your answer
Transcript Recipient Address
*
Your answer
Please select a box below:
*
I am the Student named above, and I am at least 18 years old.
I am the parent or guardian of the student named above, and the Student is younger than 18 years.
Required
If you are the parent or guardian of the Student, please enter your full name:
Your answer
Please check the box:
*
I give permission to release the Student's academic record to the Recipient above.
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