Parkridge Transcripts
McDaniel, P.O. Box 1494, Lomita, CA 90717
Email:
[email protected] High School Transcript Request Form
This is an official request for a copy of a student record. The information contained in this request should be
considered private. The information required on this page is necessary to verify and protect your school record
from being accessed by unauthorized individuals. Please complete all information in full and then finalize the
order process by mailing a copy of this request form to McDaniel, P.O. Box 1494, Lomita, CA 90717 along with
a money order for $25.00 payable to Stephanie McDaniel (DO NOT WRITE TO PARKRIDGE PRIVATE
SCHOOL). You will receive two official transcripts by mail along with an email copy of your transcript. Please
allow 4-6 weeks for processing.
Name while attending school:
Last First Middle Maiden Suffix
Date of Birth: Male/Female:__ _Graduation date:
Current name:
Last First Middle Suffix
Current address:
Address City State Zip Code
Phone number:
Home Cell Work
Email address:
Transcript delivery name and address:
Address City State Zip Code
Number of additional official transcripts (same transaction only) ($10.00 each):
(Payment may be made with same money order.)
Student signature Date