Communication Update Request
Too often, phone numbers change or phones are disconnected; email addresses are “not valid.” To make sure we have accurate contact information on file we are asking you to fill this form out.
Email address *
Student Name (First and Last )
Student Address
#1 Parent / Guardian Name #1: (First and Last)
Parent / Guardian #1: Cell Number, Home, Work
Parent / Guardian Name #2 (First and Last)
Parent / Guardian #2: Cell Number, Home, Work
Parent / Guardian Address #1
Parent / Guardian Address #2
Emergency Contact Name #1: (First and Last)
Emergency Contact Number #1: Cell Number, Home, Work
Emergency Contact #2: Name (First and Last)
Emergency Contact Number #2: Cell Number, Home, Work
Emergency Contact Name #3: (First and Last)
Emergency Contact Number #3: Cell Number, Home, Work
Any additonal person to contact? (Please provide First Name, Last Name)
Additonal numbers for contact: Cell Number, Home, Work
Do you need a workshop on how to use Google Classroom (logging in, accessing assignments, etc.)?
Clear selection
If yes, what is the best day?
Clear selection
If yes, what is the best time?
Clear selection
A copy of your responses will be emailed to the address you provided.
Submit
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