Change of Information Form

Required

School where change was requested:required

Family/Household name:required

Name of child(ren) in school:required

Parent/Guardian:required

First Name

Last Name

Form completed by:requiredBy typing your name, you are electronically signing this form

First Name

Last Name

By typing your name, you are electronically signing this form

Directions: Complete ONLY those sections where a change is requested. Addresses will NOT be changed without proper proof of residency attached.

Phone numbers will be verified. Please prioritize contact numbers.

Old Information

Previous Address, City, Zip

Previous Household Phone Number

Previous Parent/Guardian Work Phone

Previous Parent/Guardian Cell Phone

Emergency Contact

Other

New Information–Requested Change

New Address, City, Zip

Proof of Residency (if address change is requested)

Attach up to 1 file with a maximum size of 10MB

No file chosen

New Household Phone Number

New Parent/Guardian Work Phone

New Parent/Guardian Cell Phone

Emergency Contact

Other