# Authorized Representatives Form

This form records the people the School authorizes to act for it in connection with SpurrCampus. It supports account setup, billing, and data protection contact, and accompanies the School Services Agreement and Order Form.

**School name:** ________________________________

**Effective date:** ________________________________

## Primary administrator

The primary administrator manages the School's SpurrCampus environment, including users, roles, and configuration.

**Name:** ________________________________

**Title / role:** ________________________________

**Email:** ________________________________

**Phone:** ________________________________

## Backup administrator

**Name:** ________________________________

**Title / role:** ________________________________

**Email:** ________________________________

**Phone:** ________________________________

## Billing contact

The billing contact receives invoices and handles subscription and payment matters.

**Name:** ________________________________

**Email:** ________________________________

**Phone:** ________________________________

## Privacy / data protection contact

The privacy contact handles data protection questions and data subject requests for data the School controls.

**Name:** ________________________________

**Email:** ________________________________

**Phone:** ________________________________

## Authority

The School confirms that the people listed above are authorized to act for the School for the purposes described, and that the School will notify SpurrCampus promptly of any changes.

**Authorized signatory name:** ________________________________

**Title:** ________________________________

**Signature:** ________________________________

**Date:** ________________________________

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**Template note:** This sample is provided for general onboarding and operational support. Schools should review and adapt it to their own policies before use.
