Secondary School Report and Authorization Form - The Daughters of the Cincinnati

Secondary School Report

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Student Name

First Middle Last

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Student Email

Signature(Required)

Date(Required)

I grant permission to the school officials at:

School Name(Required)

School Address

School Telephone Number(Required)

School Official's Name(Required)

School Official's Email(Required)

To release secondary school records and other information requested to the daughters of the Cincinnati.

: Congratulations! Low angle view of happy group of six young cheerful multi ethnic graduates in black gowns are throwing up their hats in the air and celebrating, laughing, enjoying

: Female student sitting amongst classmates and smiling in lecture room. University students in classroom after lecture.

: african american daughter and mother in military uniform with american flag at home