SCHOOL TRANSFER REQUEST This form is necessary to authorize the transfer of your child's student records from their last school. Please fill-out this form and include it with their registration form when it is mailed to CVA, we will then send it to the previous school. Our child does not have any previous school records to transfer because, our child:     is just beginning school in kindergarten.     has been registered as a home school student with a governmental entity or organization that does not retain student records. (There is a fee for each year of verification if no official public or private school transcript is rendered.)     other, please explain: Full Legal Name of Student Date of Birth and Grade Name of Last School Attended Phone Number of Last School Attended Last School's Address City, State and Zip Code I give permission to release all school records including medical, testing, special education, psychological, and a complete copy of the cumulative folder. Parent Signature Date To Be Completed By Student's Last School Please provide copies of all school records for the above mentioned student (including, but not limited to, attendance, medical, testing, special education, psychological, and a complete copy of the student's cumulative folder). Has the student ever been suspended, or is he/she under suspension currently? Yes No How many days has the student completed this year? Mail Student Records To: Office of the Registrar, Christian Victory Academy, P.O. Box 721436, Orlando, FL 32872 For Internal Use Only Date Sent by CVA:    Date Records Received by CVA:

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