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Get FL FM-2128E - Miami-Dade County 2003

Address The specific records to be disclosed pertain to: The purpose for making these records available is: The receiving party will not disclose the information to any other party without signed consent. I certify that I am the parent or legal guardian of the child named above or that I am a student of majority age and have the authority to sign this release. Name (print) Address Signature City, State Zip Code Please return this form to: FM-2128E Rev. (11-03) ESCUELAS PÚBLICAS DEL C.

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