Updated Student Contact Information
Please complete this form with current contact and household connectivity information for your student. Your responses will help the district keep in touch with your household and plan instructional activities for the school closure.
Student Name *
Please enter first and last name.
Your answer
Student Grade Level *
Your answer
Parent/Guardian Name *
Please enter first and last name.
Your answer
Student Address *
Please enter complete mailing address.
Your answer
Parent/Guardian Phone Number *
Your answer
Parent/guardian E-mail Address *
Your answer
Do you have internet access at your house? *
Do you have a computer / laptop / tablet at your house? *
Do you have a smartphone? *
Submit
Never submit passwords through Google Forms.
This form was created inside of Northridge Local Schools. Report Abuse