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Update Contact Information

If your contact information has changed or you feel you are not receiving emails, text alerts, or mailings, please update all information below.

Student Information

First Name*

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Middle Name

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Last Name*

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Grade*

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Date of Birth*

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Street Address*

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City*

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Zip Code / Postal Code*

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Mother / Guardian Information

First Name

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Middle Name

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Last Name

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Email Address

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Mobile Phone

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Work Phone

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Father / Guardian Information

First Name

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Middle Name

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Last Name

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Email Address

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Mobile Phone

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Work Phone

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Emergency Contact Information

First Name

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Middle Name

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Last Name

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Relationship to student

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Email Address

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Mobile Phone

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Work Phone

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Do you feel you are receiving all email/text alerts from Premier Arts Academy?*

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YES

Would you like to OPT BACK IN to receive text alers?

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YES, add my number to the text alert database

NO, do not add my number to the text alert database