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Intent to Enroll Records Request

  • For Students Over Age 18

  • I,
  • , am age 18 or over, and have been enrolled at Map Academy for the 2018-19 school year. Pursuant to the provisions of 603 CMR 23.07 (5), I request that all of my records be sent as soon as practicable and within ten days to:

    Map Academy Charter School
    6 Main St. Ext Suite 3169
    Plymouth, MA 02361


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


  • Signature:

  • Date:
  • For Parent of Student Under Age 18

  • I,
  • , am the parent of
  • who has been enrolled at Map Academy for the 2018-19 school year. 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
    6 Main St. Ext Suite 3169
    Plymouth, MA 02361


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


  • Signature:

  • Date: