Educational Institute Authorization
I hereby certify and verify that the named student is requesting enrollment in our school and that my signature below authorizes The Blue Ridge Academy to forward the educational use only. I understand that the recipient of the record(s) will use said document(s) for legitimate interests only and that the information contained therein shall be further transferred or communicated to any other part or agency without the expressed written consent of the current/former student except under authority of Public Law 93-380, Educational Rights and Privacy Act. By clicking 'SUBMIT', I certify this information as complete and accurate.
I declare under penalty of perjury that the foregoing is true and correct.