Information Update

Information Update

Use the fields provided to update student and contact information.
Note: If there are changes to your student’s health, diet, or medication needs, please contact your school directly to update your student’s records.
Parent/Guardian Name

First NameLast Name
Parent/Guardian First Name
Parent/Guardian Last Name
Who is filling this form out?
Your Name

First NameLast Name
Relationship to student:
Which information is being updated today?

Other (not medical, health, or diet related)
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Work Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Home Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Doctor Information Change(s):
Insurance Information Change(s):
Emergency Contact(s) Change
Are you adding, removing, or updating an emergency contact?
Contact’s Name

First NameLast Name
Contact’s Relationship to Student(s)
Contact’s Email
example@example.com
Contact’s Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Contact’s Work Phone Number (optional)
Please enter a valid phone number.Format: (000) 000-0000.
Contact’s Home Phone Number (optional)
Please enter a valid phone number.Format: (000) 000-0000.
Which emergency contact would you like to remove? (Please list contact’s first name and last name.)
Which emergency contact would you like to update? (Please list contact’s first name and last name.)
What contact information would you like to change (i.e., phone number, name, relationship to student(s), and/or email)?
Authorized Pickup Person(s) Change
Are you adding, removing, or updating an authorized pickup person?
Pickup Person’s Name

First NameLast Name
Pickup Person’s Relationship to Student(s)
Pickup Person’s Email
example@example.com
Pickup Person’s Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Pickup Person’s Work Phone Number (optional)
Please enter a valid phone number.Format: (000) 000-0000.
Pickup Person’s Home Phone Number (optional)
Please enter a valid phone number.Format: (000) 000-0000.
Which authorized pickup person would you like to remove? (Please list person’s first name and last name.)
Which authorized pickup person would you like to update? (Please list person’s first name and last name.)
What information would you like to change (i.e., phone number, name, relationship to student(s), and/or email)?
Other Update:
Please describe the update you need made:
Loss of a Parent/Guardian
We are so sorry. Thank you for letting us know so our team can pray for and support the student and family.
Who passed away?

First NameLast Name
What was their relationship to the student?
Please share any other details you would like us to know about the situation.
How many students do you currently have attending Cascade Christian Schools?
- Student’s Name
  
  First NameLast Name
- Student’s School
- Apply update to this student’s record?
- Student’s Name
  
  First NameLast Name
- Student’s School
- Apply update to this student’s record?
- Student’s Name
  
  First NameLast Name
- Student’s School
- Apply update to this student’s record?
- Student’s Name
  
  First NameLast Name
- Student’s School
- Apply update to this student’s record?
- Student’s Name
  
  First NameLast Name
- Student’s School
- Apply update to this student’s record?
- Student’s Name
  
  First NameLast Name
- Student’s School
- Apply update to this student’s record?
Should be Empty:

Information Update

Emergency Contact(s) Change

Authorized Pickup Person(s) Change

Other Update:

Loss of a Parent/Guardian