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$1.00
Transcript Release Form
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Legislation requires a written release on the part of a Governor Mifflin student or parent before school records may be released by any agency. If a student is under 18 years of age, the student’s parent must sign the release. If the student has reached 18 years of age, or is married at any age, the student may approve the request. In either case, it will be the student’s responsibility to initiate this procedure. Upon receipt of this approval form, we will promptly forward the information requested.
We will not release any school records without proper written consent.
 
ELECTRONIC SIGNATURE  I acknowledge the use of my electronic signature and give my permission for the Governor Mifflin School District to release my academic transcript to the college/employer listed above. If you are under the age of 18 and unmarried, you must provide a parent's name. By clicking the button to the left, I acknowledge the use of my electronic signature and give my permission for the Governor Mifflin School District to release my academic transcript to the college/employer listed above. If you are under the age of 18 and unmarried, you must provide a parent's name.
 
Payment to: Governor Mifflin School District
Item Amount: $1.00
+ Additional Fees:
Convenience Fee $0.33
Item Total $1.33

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