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Parental Disclosure Form

Villanova University
Student Record Parental Disclosure Form

Please print, complete, sign, and return by mail or fax to:
Office of the Registrar
Tolentine 202
800 Lancaster Avenue
Villanova, PA 19085
Fax: 610-519 - 4033

 

 

 

I (  DO   /   DO NOT  ) consent to full disclosure of my courses, credit hours, grades and financial records, at any time, to my parent(s)/guardian(s):

________________________________ and ________________________________

 

 

 

Student Name: ____________________________
Social Security Number: _____________________
College: __________________________________
Major: ___________________________________

Student Signature: ___________________________
Date: _____________________________________