RE: __________________________________
The above named student as applied for admission to the Newark Center for
Creative Learning. Please forward copies of his most recent report, test scores,
psychological evaluations, and any other pertinent information you may have.
Thank you,
Bette Balder
Administrative Director
I hereby authorize the appropriate person at
____________________________________________________________
school name
____________________________________________________________
address
to release copies of my child's records to the Newark Center for Creative Learning.
_______________
_________________________
date signature
of parent