To: __________________________________ Date: ________________________
Parent/Legal Guardian_________________________________________________
Address_________________________________________________
City, State, Zip Code________________________________________________
Please be notified that copies of the Spirit Lake Community School District’s official education records concerning, _____________________________ (full legal name of student) have been transferred to _____________________________ Community School District
Address: ____________________________________________, upon the written statement that the student intends to enroll in said school system.
If you desire a copy of such records furnished, please check here _____, and return this form to the undersigned at Spirit Lake Community School District. A reasonable charge will be made for the copies.
If you believe such records transferred are inaccurate, misleading or otherwise in violation of the privacy or other rights of the student, you have the right to a hearing to challenge the contents of such records.
Signature: ________________________________________ Title: ________________________
Printed Name; ___________________________________________
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Approved: Reviewed: 5/13/13; 6/10/19 Revised: 7/14/25