Change of Information Form
Please complete this form to change demographic information (address, phone, e-mail) for your child(ren). ** If you have a change of address, please follow the instructions below to provide proof of new residency. **
Name of person completing this form: *
Relationship to student(s) *
If you answered other, please explain:
Effective date the change will take place: *
Student #1 - Name and Grade Level *
Please list the name AND grade level of each student the change(s) will affect:
Student #2 - Name and Grade Level
Student #3 - Name and Grade Level
Student #4 - Name and Grade Level
Address Change - New Address
If you have a change in address, you will need to provide proof of your new address (copy of lease/mortgage agreement, current utility bill, pay stub, tax statement, voter ID, or vehicle registration/drivers license with new address).
How will you be submitting proof of new address?
Clear selection
Will this change affect bus transportation?
If you answer yes, the District will notify the transportation company.
Clear selection
Telephone Change - Home Phone
Telephone Change - Mother's Cell
Telephone Change - Father's Cell
New E-Mail Address - Mother
New E-Mail Address - Father
If there are demographic or other changes not listed above, please explain.
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