Request Copy of School Records

Dorian Rothschild 60 Arthur St.

San Rafael, CA 94901 April 18, 2012 Tiburon High School Anita Singh 123 Main St. Tiburon, CA 94920 Re: Request for School Records for Robert Rothschild Social Security Number: 123-45-6789 Dear Anita Singh: The purpose of this letter is to request the school records of my child, Robert Rothschild, for the period from September 20, 2008 to June 10, 2011. This request is being made pursuant to the Family Educational Rights and Privacy Act (FERPA), 20 U.S.C. section 1232g. If there is a charge for copying the records, please send me a statement, which will be paid promptly upon receipt. You may contact me if you have any questions or need additional information. I may be contacted by e-mail at d_roth@blah.com. As provided for in section 1232g(a)(1)(A) of the Family Educational Rights and Privacy Act, please provide your response within forty-five (45) days. Thank you for your assistance in this matter. Sincerely,

Dorian Rothschild

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