2026-2027 

School Release

Release of Information to the school of the student identified below by Remembrance Ranch. 

I hereby authorize Remembrance Ranch and its employees and agents to disclose information and other records in the possession or control of Remembrance Ranch to the school listed below. I understand that this release pertains to all records about the student and any other information about the student. These records may contain health information pertaining to psychiatric, drug and/or alcohol diagnosis and treatment as well as educational records/IEP, referrals to other agencies, and written and verbal communication with Remembrance Ranch staff related to mental health intervention. 

Release of Information to Remembrance Ranch from the school of the student listed below. 

I hereby authorize the school of the student listed below and its employees and agents to disclose information and other records in its possession or control to Remembrance Ranch. I understand that this release pertains to all records about the student and any other information about the student. These records may contain health information pertaining to psychiatric, drug and/or alcohol diagnosis and treatment as well as educational records/IEP, scholastic grades, activity records, discipline records, special education records, referrals to other agencies, and written and verbal communication with Remembrance Ranch staff related to mental health intervention.

Consent for School Visits 

By signing below, I hereby authorize Remembrance Ranch and its employees and agents to contact my teenager while on school grounds during school hours at the school/s listed below. PLEASE BE SPECIFIC in School name and or high school or middle school. Your Family Advocate needs to know what school to connect with.  My signature also serves as consent to the above-mentioned releases.