Editing previous response:

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Update Contact Information

Please fill out the form below to ensure our staff has the most up to date and accurate contact information for your child.

Student Information

First Name*

Answer required for "First Name"

Middle Name

Answer required for "Middle Name"

Last Name*

Answer required for "Last Name"

Date of Birth*

Answer required for "Date of Birth"

Street Address*

Answer required for "Street Address"

City*

Answer required for "City"

Zip Code / Postal Code*

Answer required for "Zip Code / Postal Code"

Mother / Guardian Information

First Name

Answer required for "First Name"

Middle Name

Answer required for "Middle Name"

Last Name

Answer required for "Last Name"

Email Address (to receive school emails)

Answer required for "Email Address (to receive school emails)"

Mobile Phone (to receive text blasts) XXX-XXX-XXXX

Number Required

Work Phone

Number Required

Father / Guardian Information

First Name

Answer required for "First Name"

Middle Name

Answer required for "Middle Name"

Last Name

Answer required for "Last Name"

Email Address (to receive school emails)

Answer required for "Email Address (to receive school emails)"

Mobile Phone (to receive text blasts) XXX-XXX-XXXX

Number Required

Work Phone (XXX-XXX-XXXX)

Number Required

Emergency Contact Information

First Name

Answer required for "First Name"

Middle Name

Answer required for "Middle Name"

Last Name

Answer required for "Last Name"

Relationship to student

Answer required for "Relationship to student"

Email Address

Answer required for "Email Address"

Mobile Phone (XXX-XXX-XXXX_

Number Required

Work Phone (XXX-XXX-XXXX)

Number Required

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

Answer required for "Do you feel you are receiving all email/text alerts from Premier Arts Academy?"

YES