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Editing previous response:

Please fix the highlighted areas below before submitting.

Change of Address and Phone Number

ENTER STUDENT INFORMATION

Grade:*
Answer Required

ENTER NEW ADDRESS

State
Answer Required

REMOVE OLD ADDRESS

State
Answer Required

ENTER NEW PHONE NUMBER #1

Parent/Guardian Relationship:*
Answer Required
Phone Number Messages Sent To:*
Answer Required

ENTER NEW PHONE NUMBER #2

Parent/Guardian Relationship:
Answer Required
Phone Number Messages Sent To:
Answer Required

REMOVE PHONE NUMBER #1

REMOVE PHONE NUMBER #2

NEW EMERGENCY CONTACT #1

Contact Relationship:
Answer Required

NEW EMERGENCY CONTACT #2

Contact Relationship:
Answer Required

REMOVE EMERGENCY CONTACT #1

Contact Relationship:
Answer Required

REMOVE EMERGENCY CONTACT #2

Contact Relationship:
Answer Required

Parent/Guardian Name and Signature:

Attach the Require Forms to Change Address and Phone Number

Attach file for proof of address:
Please attach DWP/Gas Bill, Rental Agreement, Bank Statement or Official Government Mail as proof of address change
Answer Required
or drag it here.
Attach a valid form of ID:
Please attach a valid parent/legal guardian form of ID
Answer Required
or drag it here.