Student Information Update Form

First Name

Last Name

Email (if you don't have an email yet, please leave blank)

Phone Number (if you don't have a phone, please leave blank)

Which school will you attend this fall?

Birthday (day / month / year)

Current Age

Home Address

City

Mailing Address

City

State

Zip

Dad's Name

Mom's Name

Dad's Email

Mom's Email

Dad's Phone Number

Mom's Phone Number

Tell me something about yourself. (sports you play, school activities you are involved with, anything)