Student Information Change Form

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This form is for currently enrolled families who need to make changes to their Student Information Form (change of address, change of phone numbers, changes in people who may pick up your child etc) If you need to make changes during the year, please complete this form and your change will be recorded by the front office.

Students Name *

Students Grade Level *

Name of person making the change *

Relationship to student *

Name of contact that needs the change? *

Type of change *

Information to be added/changed/removed (be specific e.g. change phone number from XXX-XXX-XXXX to YYY-YYY-YYYY) *

E Signature (please type full name) By signing here you verify that you are legally permitted to make decisions/changes to school information for the above listed minor child. *

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