NB Update Contact Information 22-23

Update Contact information form

LEAD Academy High School
Student Full Name *

First Name Last Name
Student Grade *
Parent/Tutor Information
1 Parent/Tutor Full Name *

First Name Last Name
What do you want to update *

Mobile Number E-mail address Mailing address Mobile and email All of the above
Phone Number *
Please enter a valid phone number.
Email *
example@example.com

Update address

Important: LEAD Academy will not be able to update your address unless you provide us proof of address.
Photo I.D. of Parent/Legal Guardian
Proofs of Residence. Examples:
TN Driver’s License or Photo I.D. with current address
Mortgage/Lease Statement for current address
Current Public Utility Bill such as water, gas, electric or landline phone bill (cell phone bill not accepted). Utility bills provided as proof of residence must be dated within 30 days prior to enrollment.
Motor vehicle registration with current address
Current employment record (Example: most recent check stub with home address)
Voter’s Registration Card
Documentation from TN Department of Human/Children’s Services for benefits with current address
New Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
2 Proof of address

Documents must show residence address, name and date
Take Photo of your proof of address *
Take Photo of your proof of address *

New Phone Number *
Please enter a valid phone number.
New e-mail *
example@example.com
Update address

Important: LEAD Academy will not be able to update your address unless you provide us proof of address.
Photo I.D. of Parent/Legal Guardian
Proofs of Residence. Examples:
TN Driver’s License or Photo I.D. with current address
Mortgage/Lease Statement for current address
Current Public Utility Bill such as water, gas, electric or landline phone bill (cell phone bill not accepted). Utility bills provided as proof of residence must be dated within 30 days prior to enrollment.
Motor vehicle registration with current address
Current employment record (Example: most recent check stub with home address)
Voter’s Registration Card
Documentation from TN Department of Human/Children’s Services for benefits with current address
New Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Proof of address

Documents must show residence address
Take Photo of your proof of address *

Update Contact information form