TRANSFER OF RECORDS REQUEST

 Copy and email to  Matanzasacademy@comcast.net

Student Name (when in MCA):

Date of Birth:

YEAR OF GRADUATION:

 I hereby authorize Matanzas Christian Academy to release my transcript to the following school and admissions address:

Where to send records

Name of Institution:

Address of Institution:

Fax # or email of person receiving fax:

Facsimile (typed) Signature:

Date of request: