Brophy Student Record Update Form
Use the form below to make Address/Phone/Email changes to your Brophy student records.
Parent/Legal Guardian Name: *
FULL NAME
Your answer
Parent/Legal Guardian Email Address: *
Your answer
Parent/Legal Guardian Daytime Phone Number: *
Your answer
Daytime Phone Above is: *
Student Name: *
FULL NAME
Your answer
Student ID Number: *
Your answer
Address Change Parent/Legal Guardian:
PLEASE INCLUDE STREET ADDRESS, CITY, STATE AND ZIP CODE.
Address Change Details:
Your answer
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:
Your answer
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:
Your answer
Additional Details:
If you have more than one student at Brophy please include the other student names and ID numbers.
Comments:
Your answer
Submit
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