2023 Consent for Diploma/Report Card Pick Up On My Behalf

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2023 Consent for Diploma/Report Card Pick Up On My Behalf

This form is to be completed ONLY if you are unable to pick up your own diploma and/or report card. In completing the form, you are granting the school consent to provide your diploma and transcript and/or report card, and the personal information included within, to the following individual.

Pick up date is Thursday, July 6 from 9 am to 3 pm.

* Indicates required question

Email *

Your email

Student Name *

Your answer

Non HDSB Email Address *

Your answer

Grade *

9

10

11

12

Name of person authorized to pick up for you *

Your answer

Submit

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