Parent Portal ACT Guide for Parents Chromebook & Technology Contact Directories EBR Parent University Magnet Program Quick Links School Counselers School Fees & Spirit Wear Parent Quick Links ACT Guide for Parents Chromebook & Technology Contact Directories EBR Parent University Magnet Program Quick Links School Counselers School Fees & Spirit Wear Parent Quick Links Student Contact Update Request Use this form to request updates to a student’s contact info (phone, email, spelling corrections, address, pickup permissions, etc.). Be specific about what needs to change. Enter only the fields that need updating. We may contact you to verify changes. Student First Name * Student Middle Name Student Last Name * Grade of Student: * 9th 10th 11th 12th OtherOther Which Contact do we need to update or add information for? * Student Mother Father Guardian Emergency Contact OtherOther Student Resides with which Contact? * -select one-MotherFatherGuardianEmergencyNone Student Home Phone Student Cell Phone * Student Mailing Address * Student Mailing Address Student Mailing Address Student Mailing Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Is the Student's Mailing Address different from their Physical Address? * Yes No Student Physical Address * Student Physical Address Student Physical Address Student Physical Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Mother's First Name * Mother's Last Name * Mother's Home Phone Mother's Cell Phone * Mother's Work Phone Mother's Contact Email * Father's First Name * Father's Last Name * Father's Home Phone Father's Cell Phone * Father's Work Phone Father's Contact Email * Guardian's First Name * Guardian's Last Name * Guardian's Home Phone Guardian's Cell Phone * Guardian's Work Phone Guardian's Contact Email * Emergency Contact's First Name * Emergency Contact's Last Name * Emergency Contact's Home Phone Emergency Contact's Cell Phone * Emergency Contact's Work Phone Emergency Contact's Contact Email * Your First & Last Name * Your Phone Number * Your Email * Other * Please describe what information you need to update or what questions you may have, and we can reach back out to you. Is this contact allowed to pick-up and check-out the student during school hours? * Yes No Submit to Front Office If you are human, leave this field blank. Δ Do you have Ideas or Suggestions? Your voice matters! Share ideas to help improve our school. Anonymous submissions allowed. Be respectful and specific One idea per submission is best If you want a reply, select Yes under “Follow-up?” and enter your email Name (optional) Name (optional) Name (optional) Name (optional) Grade -- Select --9th10th11th12thOther Category -- Select --AcademicCampus/FacilitiesClubs/ActivitiesPBIS IdeasSchool EventsOther Describe your suggestion clearly. Include times, locations, or examples if helpful. * Follow-up? * Yes No Email Submit Your Suggestion! If you are human, leave this field blank. Δ
