Educational Guardianship Form

Formalize a guardianship arrangement to legally authorize another person to make educational decisions for a student.

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Student Name

First Name

Last Name

Date of Birth

Guardianship Declaration

I, the parent/Guardian of the above-mentioned student, agree with the following statements:

I agree

Parent/Guardian Name

First Name

Last Name

Address

Street Address

City

State / Province

ZIP / Postal Code

Phone Number

Email

Educational Guardian Name

First Name

Last Name

Relationship to the Student

Email

Phone Number

Date

Parent/Guardian Signature

Sign here

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