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- 1. 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) Diploma Delivery (FREE): Mail to: ______________________________________________ Mail to: _________________________________ ______________________________________________ _________________________________ Unofficial Transcript (FREE) Additional Official Transcript: ($10.00) 1. Fax: ____________________________________ Mail To: ____________________________________________ 2. Email: ___________________________________ _____________________________________________ 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