STUDENT CONTACT INFORMATION CHANGE FORM
Information may only be updated by a parent/guardian along with a copy of parent/guardian driver's license. Please see (in person) the registrars for address changes with your ID, and proof of residence (current utility bill, lease agreement, or mortgage statement.)
Email address *
Name of Parent/Guardian Requesting Change *
Phone Number of Parent/Guardian Requesting Change *
Full Name of Student *
Student ID Number
Grade *
Student's Birthday *
MM
/
DD
/
YYYY
Action Requested *
Last Name *
First Name *
Relationship to Student *
Phone Number *
Email
Any Additional Comments or Information
Can this Contact Pick up Student? *
Call in Case of Emergency? *
Copy of Parent/Guardian Driver's License *
Required
*
Required
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