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<br />CONSENT FORM <br /><INSERT SCHOOL NAME> <br />PERMISSION TO HAVE ACCESS TO <br />MY ACADEMIC RECORDS <br />I, a student at <br />Name of Student <br />, and having reached the <br />Name ofSchool <br />age of 18, hereby authorize administration of the school to <br />release all information pertaining to my educational records to: <br />Name Relationship to Student or <br /> Organization <br /> Signature of Student Date <br /> Signature of Witness Date <br />INSERT SCHOOL LOGO <br />OCDSB 929 <br />File in Student’s OSR. Keep until superseded, or cull 5 years after student has left the school.