Brophy Student Record Update Form
Use the form below to make Address/Phone/Email changes to your Brophy student records.
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Parent/Legal Guardian Name: *
FULL NAME
Parent/Legal Guardian Email Address: *
Parent/Legal Guardian Daytime Phone Number: *
Daytime Phone Above is: *
Student Name: *
FULL NAME
Student ID Number: *
Address Change Parent/Legal Guardian:
PLEASE INCLUDE STREET ADDRESS, CITY, STATE AND ZIP CODE.
Address Change Details:
Phone Change Student/Parent/Legal Guardian:
Please update the phone number and indicate who the phone number change is for "mom", "dad", "student" and the type of phone number it is "cell", "home", "work".  
Phone Change Details:
Email Change Parent/Legal Guardian:
Please update the email address and indicate whose email address is being changed, "mom", "dad", "step-mother" before email address.
Email Change Details:
Additional Details:
If you have more than one student at Brophy please include the other student names and ID numbers.  
Comments:
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