Transcript Request



Items denoted with a red asterisk * are required.
RECORD RELEASE FORM
 
($3.00 per transcript)
Transcripts requests will not be processed until payment is received. Please send your checks or money orders to:
Transcript Request
Somerville High School
81 Highland Ave.
Somerville, MA 02143
 
 
 
 * Date
 
 * Class of
 
 * Name/Maiden Name
 
 
 
 
I hereby authorize Somerville High School to release a true copy of my records checked below.
 


 
 
 
 * Your Name
 
Phone Number
 
Email Address
 
 
 
 
 * Send to: (Please include complete address)