Pompton Lakes Public Schools - Annual Student Update Form
Please complete the Annual Update form below for each child enrolled in the Pompton Lakes School District by September 20, 2019. Updates that are not completed by this date may result in limited access to the Parent Portal until all information is provided. Please call the main office in your child's school at 973-835-7100 with any questions.
Student's Full Name (Last, First) *
Your answer
School (select one) *
Grade (select one) *
Address (House Number, Street, Town) *
Your answer
Primary telephone number (format: 973-888-8888) *
Your answer
Student lives with: *
Mother's Name
Your answer
Mother's Cell phone (format: 973-888-8888)
Your answer
Mother Residing at Other Location
Father's Name
Your answer
Father's Cell phone (format: 973-888-8888)
Your answer
Father Residing at Other Location
Other Parent/Guardian
Your answer
Other Parent/Guardian Cell phone (format: 973-888-8888)
Your answer
Other Parent Residing at Other Location
Family Email Address (To be used for SchoolMessenger and other school-related communication): *
Your answer
Alternate Family Email Address:
Your answer
Persons who may assume temporary responsibility of the student when a parent/guardian cannot be contacted (in case of illness or school closing); provide full name and phone number *
Your answer
Student may not be released to: (Last name, First name)
Your answer
Next
Never submit passwords through Google Forms.
This form was created inside of Pompton Lakes Schools. Report Abuse - Terms of Service