Student Records Request

Required

THOMPSON FALLS JUNIOR HIGH

Home of the Blue Hawks!

RECORDS REQUEST FORM

Date of Request:required

Must contain a date in M/D/YYYY format

Student Name required

First Name

Last Name

Student's Birthdaterequired

Must contain a date in M/D/YYYY format

Grade

School Name:required

Address Line 1:required

Address Line 2 (optional):

City, State and Zipcoderequired

Email address (if electronic copy is to be sent):

You may click SUBMIT below and this request will be emailed to:

Melissa Wilson at Thompson Falls Junior High

Student Records may also be requested via mail at:

Thompson Falls Junior High

Attn: Melissa Wilson

206 Haley Ave W

Thompson Falls, MT 59873

Phone: 1-406-827-3593

Email: MWilson@tfalls.org

Electronic Signature Agreement:required

I affirm that entering my name and phone number below and submitting this form constitutes an electronic signature of this form.

Signature:

Phone Number:

Must contain only numbers

Email Address

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