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Update Your Child's Emergency Information
 
Information Update DHMS

Please fill out the following information to update your child's information and your contact information. We need parent phone numbers, but we also need two additional contacts in case of emergency so we are able to reach someone in a timely manner.

We appreciate the updates! It ensures that we can maintain communication between home and school, so we can work together for your child's success.
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Student's Name
Student's Grade
Your Name
Relationship to Student
Does the student live with you?
Yes
No
Street Number and Name
City, State
Zip Code
Best Phone Number to Reach You
 
Additional Phone Number for You
 
Your Primary Email Address
 
Additional Email Address
 
Contact 1 (other than you)
Contact 1's Relationship to Student
Contact 1's Phone Number
 
Contact 2 (other than you)
Contact 2's relationship to student
Contact 2's Phone Number
 
Any additional information we need to know (i.e. legal issues)