Intent to Enroll Records Request

  • For Parent of Student Under Age 18

  • I,
  • , am the parent of
  • who is enrolling at Map Academy Charter School. Pursuant to the provisions of 603 CMR 23.07 (5), I request that all records for this student be sent as soon as practicable and within ten days to:

    Map Academy Charter School
    11 Resnik Rd.
    Plymouth, MA 02360

    Further, I grant Map Academy the ability to submit this request and receive these records on my behalf.


  • Signature:

  • Date:
  • MM slash DD slash YYYY