Parent/Guardian Contact Information - Update Form
Please complete this form to update contact information ONLY if the information has changed since the beginning of the school year.  Information provided will result in the requested changes being made in CSIU.  This information is very important in the event  a teacher, administrator, school counselor, secretary or school nurse needs to contact you regarding your child.

If you have more than one child attending the Hopewell Memorial Jr. High, please complete one form for each child.

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Email *
Student Name (First & Last Name Required) *
Student Grade *
New Address - Parent/Guardian #1  (Complete Address Required)
New Phone Number #1
New Email - Parent/ Guardian #1 (Complete Email Address Required)
New Address - Parent/ Guardian #2 (Complete Address Required)
New Phone - Parent/Guardian # 2
New Email - Parent/ Guardian #2 (Complete Email Address Required)
Emergency Contact #1 (First & Last Name Required)
Emergency Contact #1 Phone Number
Emergency Contact #1 Relationship to Student
Clear selection
Emergency Contact #2 (First & Last Name Required)
Emergency Contact #2 Phone Number
Emergency Contact #2 Relationship to Student
Clear selection
Parent/Guardian Name - (First & Last Name of Person Completing Form - Required)   *
Date of Completion *
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