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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*

Answer required for "First Name"

Middle Name

Answer required for "Middle Name"

Last Name*

Answer required for "Last Name"

Grade*

Answer required for "Grade"

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

Answer required for "Email Address"

Mobile Phone

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

Answer required for "Email Address"

Mobile Phone

Number Required

Work Phone

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

Number Required

Work Phone

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

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

Answer required for "Would you like to OPT BACK IN to receive text alers?"

YES, add my number to the text alert database

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