Contact Information Change Form

Returning students to Bradley County Schools for the 2020-2021 school year will not complete a new registration form.

Have you changed your address? Have you changed your phone number(s)? Have you changed your email address(es)? Have you changed who you live with? If so, please complete the Contact Information Change Form below. Required fields marked with an asterisk * If a question is not applicable, please put NONE or the first item in a drop down list.

If you have more than three students, you will have to complete the form multiple times.

Student Name #1 (Legal Name)*

Answer Required

Grade for 2020-2021*

Answer Required

Lives with:*

Answer Required

Mother

Father

Both Parents

Other Legal Guardian

State Custody

When a call is made about your child, what number should we call?

Call Phone Number #1*

Number Required

Call Phone Number #2*

Number Required

Student Name #2 (Legal Name)

Answer Required

Grade for 2020-2021

Answer Required

Lives with:

Answer Required

Mother

Father

Both Parents

Other Legal Guardian

State Custody

When a call is made about your child, what number should we call?

Call Phone Number #1

Number Required

Call Phone Number #2

Number Required

Student Name #3 (Legal Name)

Answer Required

Grade for 2020-2021

Answer Required

Lives with:

Answer Required

Mother

Father

Both Parents

Other Legal Guardian

State Custody

When a call is made about your child, what number should we call?

Call Phone Number #1

Number Required

Call Phone Number #2

Number Required

Father's Information

Father's Name*

Answer Required

Street Address*

Answer Required

City*

Answer Required

Zip/Postal*

Answer Required

Phone Number*

Number Required

Work Phone Number

Number Required

Cell Phone Number

Number Required

Email Address

Answer Required

Employed by;

Answer Required

Mother's Information

Mother's Name*

Answer Required

Street Address*

Answer Required

City*

Answer Required

Zip/Postal*

Answer Required

Phone Number*

Number Required

Work Phone Number

Number Required

Cell Phone Number

Number Required

Email Address

Answer Required

Employed by:

Answer Required

Other Legal Guardian Information

Other Legal Guardian*

Answer Required

Street Address*

Answer Required

City*

Answer Required

Zip/Postal*

Answer Required

Phone Number*

Number Required

Work Phone Number

Number Required

Cell Phone Number

Number Required

Email Address

Answer Required

Employed by:

Answer Required

Parent or Legal Guardian's Signature: (Typing name and completing date will verify information)*

Answer Required

Date*

Answer Required

Please fix the highlighted areas below before submitting.

Contact Information Change Form