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3111 Fo rtune Way | Suite B-16 | Wellington | Florida | 33414
                                    Toll Free: 1.800.890.6269 | Main: 561.537.5501 | Fax: 1.866.230.0259
                                                          http://www.virtualhse.com




Complete and submit this form to any high school/GED and college/vocational school you/student have attended.


RELEASE OF RECORDS

The student below is in the process or has enrolled in Virt ual High School of Excellence. Please forward an official or
unofficial transcript to:



(For official transcript)
Admissions Office
3111 Fortune Way
Suite B-16
Wellington, FL 33414

(For unofficial transcript)
Fax to:      1-866-230-0259 (US)
             561-790-1300 (International)



Student's Name: ________________________________________________

Date of Birth: ________/__________/_________


I give my permission for this record transfer.

 Parent            Student              Registrar ________________________________________

Date: _________/___________/__________



Submitted in accordance with Federal Register June 17, 1976. Part II H.E.W. Privacy rights to Parents and Students.
Vol. 41 No. 118-24673.



          © 2007 Forest Trail Academy, LLC d/b/a Virtual High School of Excellence | Forest Trail Academy, LLC d/b/a Forest Trail Academy   Page 4 of 4




                                                                            l Academy

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Vhse release-of-records

  • 1. 3111 Fo rtune Way | Suite B-16 | Wellington | Florida | 33414 Toll Free: 1.800.890.6269 | Main: 561.537.5501 | Fax: 1.866.230.0259 http://www.virtualhse.com Complete and submit this form to any high school/GED and college/vocational school you/student have attended. RELEASE OF RECORDS The student below is in the process or has enrolled in Virt ual High School of Excellence. Please forward an official or unofficial transcript to: (For official transcript) Admissions Office 3111 Fortune Way Suite B-16 Wellington, FL 33414 (For unofficial transcript) Fax to: 1-866-230-0259 (US) 561-790-1300 (International) Student's Name: ________________________________________________ Date of Birth: ________/__________/_________ I give my permission for this record transfer.  Parent  Student  Registrar ________________________________________ Date: _________/___________/__________ Submitted in accordance with Federal Register June 17, 1976. Part II H.E.W. Privacy rights to Parents and Students. Vol. 41 No. 118-24673. © 2007 Forest Trail Academy, LLC d/b/a Virtual High School of Excellence | Forest Trail Academy, LLC d/b/a Forest Trail Academy Page 4 of 4 l Academy