Wall School District #51-5
PO Box 414
Wall, South Dakota 57790
Ph: (605)-279-2156 Fax: (605)-279-2613
www.wall.k12.sd.us
Superintendent/7-12 Principal: Dennis Rieckman
K-6/Big White Principal: Charles Sykora
Business Manager: Niki Mohr
Records Release
To:
_______________________________ (Name)
______________________________ (Address if known)
______________________________ (City, State, Zip)
______________________________ (Phone Number)
______________________________ (Fax Number)
I, __________________________ (parent or guardian) hereby authorize Wall School District, #51-5 to
release records of __________________________ last enrolled in grade _____ at Wall School to the
school/institution listed above. The records will include copies of ALL academic and health records, as well as
Special Education I.E.P.s and psychological reports if applicable.
Signed: ______________________________
Date: __________
Parent or Guardian Signature
If requesting school/institution participates in Infinite Campus/DDN Campus, please contact our school at
the number above and we will then forward via campus. If we do not hear from you, they will be mailed to
the address above. Thank you. Wall School Administration
The mission of the Wall School District 51-5 is to empower all students to fully
develop their potential to succeed in an ever-changing world.