FERPA Student Form

"*" indicates required fields

Full Name*

Address

Street Address Address Line 2 City State ZIP Code

E-mail*

Please send the following athletic information,

A. I certify that my parents/guardians do claim me as a dependent for federal income tax purposes. I am aware that St. Andrews may disclose information from my education records, even if I do not give consent.

B. I certify that my parents/guardians do not claim me as a dependent for federal income tax purposes; However, I GIVE CONSENT so that St. Andrews may disclose information from my education records.

C. I certify that my parents/guardians do not claim me as a dependent for federal income tax purposes; However, I DO NOT GIVE CONSENT so that St. Andrews may disclose information to them from my education records.

Parent/Guardian 1

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Parent/Guardian 2

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

I acknowledge that by submitting this form, I am providing an electronic signature verifying that the information is correct as submitted and an accurate reflection of my consent as indicated above.

FERPA Student Form

I acknowledge that by submitting this form, I am providing an electronic signature verifying that the information is correct as submitted and an accurate reflection of my consent as indicated above.

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