Intent to Enroll Records Request

For Parent of Student Under Age 18
I,
Parent Name
First
, am the parent of
Student Name
First
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:
Parent Signature
Date:
Date
MM slash DD slash YYYY

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Students have a unique experience at Map Academy, and we invite you to check out a sampling of it at one of our Open Houses. Here, you will see the facility, get a sense of how the space allows for the student-centered, flexible model at Map, and have your questions answered by one of our staff.

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Intent to Enroll Records Request

For Parent of Student Under Age 18