Dear Parent/Guardian and Graduating Senior:
The Lower Dauphin School District releases School Health Records to graduating seniors as part of our school health program. The records contain complete information on immunizations as well as other vital data which may be useful to your son/daughter at a future date.
We must have signed permission before we can release the records with the diplomas on June 3, 2020.
- Your son/daughter must sign the release form below if he/she will be 18 years of age before graduation on June 3, 2020
- If your student will not be 18 before June 4, 2020, then the parent/guardian signature is required.
If you would prefer, you can scan your completed form and email it to the school nurse, Mary Smith, at msmith@ldsd.org
Sincerely,
Justin M. Hanula
Principal
This link will take you to a pdf of the form School Health Records Release (pdf)