I give Central Catholic High School permission to send my transcript to the following address(es):

My initials below constitute an electronic signature and authorizes Central Catholic High School to release information and / or my student record and confirms I have completed all sections accurately and truthfully, including information verifying my identity. I understand that the recipient of the record(s) will use the indicated documents(s) for legitimate interests only and that the information contained therein shall not be further transferred or communicated to any other party or agency without my expressed written consent.

I declare under penalty of perjury that the foregoing is true and correct.