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Transcript of high school degree
3111 Fortune Way | Suite B-16 | Wellington | Florida | 33414
Toll Free: 1.800.890.6269 | Main: 561.537.5501 | Fax: 1.866.230.0259
http://www.foresttrailacademy.com
Final Transcript & Diploma
NOTICE: Please allow 5-7 days for your transcript request to be completed and 3-5 weeks for your diploma to be delivered.
Last Name: First Name: MI:
DOB:
Name Change (Former Name):
Day Telephone Number: FAX:
Full Current Address:
City: State, Zip Code:
Email:
Are you seeking NCAA Initial Eligibility Requirements (Student athletes only):
Yes No
Last School Attended:
City: State, Zip Code:
Official Transcript (FREE)
Mail to: ______________________________________________
______________________________________________
Unofficial Transcript (FREE)
1. Fax: ____________________________________
2. Email: ___________________________________
Diploma Delivery (FREE):
Mail to: _________________________________
_________________________________
Additional Official Transcript: ($10.00)
Mail To: ____________________________________________
_____________________________________________
I authorize Forest Trail Academy to charge my credit card on file for $10.00 for an additional official copy of my transcript.
Parent Signature: ___________________________________________________________
If you would like to use a new credit card, please complete the authorization form below:
Name on Card:
Credit Card Type:
Credit Card Number: ________-________-________-________
Expiration Date: ______/______ CVV: _________
Billing Address:
Street Address Apt#
City State Zip Code
Signature_____________________________________________________________ Date _____/_____/_______
(if under 18, parent/guardian must sign)
© 2007 Forest Trail Academy, LLC d/b/a Virtual High School of Excellence | Forest Trail Academy, LLC d/b/a Forest Trail Academy