Contact Information Change Request
Please complete this form if the information shown on the Parent Portal is incorrect. Please allow up to 72 hours for the correction. Also, please note that documentation may be requested for address changes.
Parent Name(s) and/or Guardian(s)
Last Name, First Name
Your answer
Parent Name or Guardian Email Address
Your answer
Phone Number
Your answer
Student Name
Your answer
Student ID#
Your answer
Change Request
Please check all that apply
Required
Address Change
Your answer
Phone Number Change
Your answer
Contact Change
(Optional Only)
Your answer
Other Information
Please use for any other detailed information that may be helpful
Your answer
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