Address/Contact Change Request Form

Address/Contact Change Request Form

Dear Parent/Guardian, this form is for you to request an update to your student's Address and/or Emergency Contacts information in PowerSchool. The student's designated Guardian must complete this form in order to make changes to student records in PowerSchool. Once your request is submit your student's School Administrative Assistant will review and process the change. The school will reach out to the Guardian on file if any additional information is needed. Address changes will not be processed until a new Proof of Address or Open Enrollment Application is received.
Guardian Name(Person Completing this form)*

First NameLast Name
Guardian Email(Person Completing this form)*
example@example.com
Guardian Phone Number(Person Completing this form)*
Please enter a valid phone number.
1 Student Name*

First, Middle NameLast Name
1 School*
1 Grade*
1 Do you wish to add another Student?
2 Student Name*

First, Middle NameLast Name
2 School*
2 Grade*
2 Do you wish to add another Student?
3 Student Name*

First, Middle NameLast Name
3 School*
3 Grade*
3 Do you wish to add another Student?
4 Student Name*

First, Middle NameLast Name
4 School*
4 Grade*
4 Do you wish to add another Student?
5 Student Name*

First, Middle NameLast Name
5 School*
5 Grade*
5 Do you wish to add another Student?
6 Student Name*

First, Middle NameLast Name
6 School*
6 Grade*
6 Do you wish to add another Student?
7 Student Name*

First, Middle NameLast Name
7 School*
7 Grade*
Do you need to update the information for the designated Guardian Contact?(Only one designated Guardian can be assigned to your student in PowereSchool)*
Guardian Name*

First NameLast Name
Guardian Phone Number*
Please enter a valid phone number.
Guardian Email*
example@example.com
Do you need to make changes to your student's Emergency Contacts?*
Contact 1 Name*

First NameLast Name
Contact 1 Phone Number*
Please enter a valid phone number.
Contact 1 Email
example@example.com
1 Do you wish to add another Emergency Contact?
Contact 2 Name*

First NameLast Name
Contact 2 Phone Number*
Please enter a valid phone number.
Contact 2 Email
example@example.com
2 Do you wish to add another Emergency Contact?
Contact 3 Name*

First NameLast Name
Contact 3 Phone Number*
Please enter a valid phone number.
Contact 3 Email
example@example.com
All families that are requesting an address change must provide a proof of address in order to be able to proceed with the change. A proof of address can be a document showing the name of a parent/guardian, the address, and a date within the past two months. Please provide a copy of your proof of address to your student's School Administrative Office.

If you are updating your student’s address to an out of district address you must also provide a completed copy of the Address Change Open Enrollment Application.

Please visit the Enrollment Center webpage, there you can find the Boundary Map to see if your new address is within district boundaries or out of district boundaries. You can also find the Open Enrollment Applications on that webpage.

*All families requesting an address change must provide a proof of address and include a copy of the Address Change Open Enrollment Application(for those located out of district boundaries). Your student’s address will not be updated until these documents are provided to your student’s School Administrative Office. Thank you for your understanding.
Do you need to make changes to your student's Address?*
Old Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date New Address Will be Effective*

MonthDayYear
Date
New Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is the Mailing Address different from the Home address?*
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Should be Empty: