Information Change Request Form


To change, add to or update any student/family information please fill in this form. Your information will be sent to the school office where updates will be made as soon as possible. If you have any questions about student information, you may email the School office or call, 410-744-6560 ext. 2.

We MUST have your OLD telephone number to process the information.

Enter your OLD telephone number: (i.e.: 410-555-1212)

Student's Last Name(s)

First Name(s) - (include all student's who need their records updated. Seperate names with a comma.)


New Information: (leave fields blank if information stays the same)

New Telephone

New Address

New Zip Code

New email address

Father's Name

New Father's Work

New Father's Cell

Mother's Name

New Mother's Work

New Mother's Cell

Child(ren) live with
Both Parents:
Mother:
Father:
Guardian:

New Emergency Contact #1 Name

New Emergency Contact #1 Phone

New Emergency Contact #2 Name

New Emergency Contact #2 Phone

I do NOT want my information printed in the School Directory.