I, [YOUR NAME], solemnly declare and affirm under penalty of perjury under the laws of [STATE NAME], that the following statements are true and accurate to the best of my knowledge and belief:
I am a [RELATIONSHIP TO STUDENT], and I am legally authorized to make this affidavit regarding the familial relationship between myself and [STUDENT'S NAME], who is seeking enrollment in the family-related program at [EDUCATIONAL INSTITUTION NAME].
[STUDENT'S NAME], [STUDENT'S BIRTH DATE], is a member of my immediate family.
I have legal custody or guardianship of [STUDENT'S NAME] and am responsible for their care, upbringing, and welfare.
I consent to [STUDENT'S NAME] participating in the family-related program at [EDUCATIONAL INSTITUTION NAME], and I understand the obligations and responsibilities associated with this enrollment.
I am aware that this affidavit may be used by [EDUCATIONAL INSTITUTION NAME] to verify the familial relationship between myself and [STUDENT'S NAME] for enrollment purposes.
I affirm that all statements made herein are accurate and true to the best of my knowledge and belief. I understand that providing false information in this affidavit may result in legal consequences, including penalties for perjury.
[YOUR NAME]
[NOTARY PUBLIC NAME]
[NOTARY PUBLIC COMMISSION NUMBER]
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