Information Change Form - Trinity Christian Academy

Your Information

Name(Required)

First Last

Email(Required)

Phone(Required)

Students

These are the students that these changes will be applied for. If it is different for each student, please fill out a separate form.

1. Student Name(Required)

First Last

Grade(Required)

2. Student Name

First Last

Grade

3. Student Name

First Last

Grade

4. Student Name

First Last

Grade

5. Student Name

First Last

Grade

Changes Requested

I would like to make the following changes to my child(ren)'s profile:(Required)

Address

If there is no change, please leave blank.

Who needs to be changed?

Mother

Father

Other

Mother

Reason for change(Required)

Moving

Marital Status

Other

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Father

Reason for change(Required)

Moving

Marital Status

Other

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Other Person

Name(Required)

First Last

Relationship to Child(ren)(Required)

Reason for change(Required)

Moving

Marital Status

Other

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone Number

If there is no change, please leave blank.

Who needs to be changed?(Required)

Mother

Father

Other

Mother

Home

Cell

Work

Father

Home

Cell

Work

Other

Name(Required)

First Last

Relationship to Child(ren)(Required)

Home

Cell

Work

Email

If there is no change, please leave blank.

Who needs to be changed?(Required)

Mother

Father

Other

Mother

Email

Father

Email

Other

Name(Required)

First Last

Relationship to Child(ren)(Required)

Email

Pick Up List

If there is no change, please leave blank.

1. Name(Required)

First Last

Status

Relationship to Student(Required)

Home(Required)

Cell(Required)

2. Name

First Last

Status

Relationship to Student

Home

Cell

3. Name

First Last

Status

Relationship to Student

Home

Cell

Other

Please list any other changes in student(s) demographics.

Other Changes

Consent(Required)

I agree to the changes submitted electronically through this form by my digital signature below.

Responsible Party Signature(Required)

Information Change Request

Your Information

Students

Changes Requested

Address

Mother

Father

Other Person

Phone Number

Mother

Father

Other

Email

Mother

Father

Other

Pick Up List

Other

Trinity Christian Academy

Hours