Aycock Student Update Form
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Student Contact Update Form
Please enter your information for updates to Blackboard connect and other school application software.
1.
First Name
*
2.
Last Name
*
3.
Grade Level
--None--
5
4
3
2
1
K
PreK
4.
Street Address
5.
City
6.
State
7.
Zip Code
8.
Home Phone Number
9.
Home Phone - Texting
--None--
Yes
No
10.
Mobile Phone Number
11.
Mobile Phone - Texting
--None--
Yes
No
12.
Work Phone Number
13.
Work Phone - Texting
--None--
Yes
No
14.
Please enter your primary email address
15.
Please enter your secondary email address
16.
Emergency Contact First Name
17.
Emergency Contact Last Name
18.
Emergency Contact Relationship
19.
Emergency Contact Phone Number
20.
Does your child have any food allergies?
21.
Does your child have any required medicine we need to be aware of?
22.
Will remote learning take place somewhere other than your home?
--None--
Yes
No
23.
Please provide a contact name for remote learning
24.
Please provide a contact telephone number for remote learning