2024 Consent for Diploma Pick Up On My Behalf
This form is to be completed ONLY if you are unable to pick up your own diploma. 

In completing the form, you are granting the school consent to provide your diploma and transcript, and the personal information included within, to the following individual.

Pick up dates are Tuesday, July 9 and Wednesday, July 10, 2024 from 9 am - 2 pm
Email *
Student Name *
Non HDSB Email Address *
Full name of person authorized to pick up for you *
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This form was created inside of Halton District School Board.

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