Release Authorization Page 9
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13STATEMENT OF FINANCIAL RESPONSIBILITY
Pensacola Christian Academy/Pensacola Christian College
We at Pensacola Christian College feel it is important for students and parents to read and
understand our financial policies. These policies are published in the college catalog. Signing this
Statement of Financial Responsibility will acknowledge that you have read the Financial
Information section of the Pensacola Christian College catalog and that you agree to the terms
and conditions as set forth in the catalog.
Print student’s name: _____________________________________ Date:__________________
Student’s Signature: _____________________________________________________________
Student’s Social Security Number: __________________________________________________
The parent or legal guardian of the student must sign in the space provided below.
As the parent or legal guardian of the above student, I have read the Financial Information section
of the college catalog and will accept full responsibility for payment of any unpaid tuition, fees,
and room and board for any time the above-named student is enrolled at Pensacola Christian
College as an undergraduate or high school boarding student.
Print Parent or Legal Guardian’s name:_______________________________________________
Parent or Legal Guardian’s Signature:________________________________________________
Parent or Legal Guardian’s Social Security Number: ___________________________________
Date:__________________
DS:mf
7/2010
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