Student InformationUpdate Contact Details Keep usInformed This form is for updating contact information and emergency contacts. We rely on the primary email address for communication. If you need to update your child’s medical information, please visit our Medical Information Update page. Student Details: First Name Last Name Date of Birth Year Level - Year Level -PreschoolReceptionYear 1Year 2Year 3Year 4Year 5Year 7Year 8Year 6Year 9Year 10Year 11Year 12 Does this change apply to all students in the family? Does this change apply to all students in the family? Yes No N/A Please list siblings at the school List the names of any siblings at the school. Include both first and last names, especially if they are different from the one mentioned above. What information would you like to update? Please check the relevant boxes: What information would you like to update? Please check the relevant boxes: Address Primary Contact Details Secondary Contact Details Emergency Contact Details Residential Address: Street Address City/Suburb State South AustraliaNew South WalesVictoriaQueenlandWestern AustraliaAustralian Capital TerritoryNorthern TerritoryTasmania Post Code Is the mailing address different from the residential address? Is the mailing address different from the residential address? Yes No Mailing Address: Address Line City/Suburb State South AustraliaNew South WalesVictoriaQueenlandWestern AustraliaAustralian Capital TerritoryNorthern TerritoryTasmania Post Code Primary Contact Details: First Name Last Name Email Address Phone Home Work Secondary Contact Details: First Name Last Name Email Address Phone Home Work Emergency Contact Details: Primary Contacts will be contacted in the first instance as per details above. Please provide at least one other contact in the event we are unable to contact either parent/guardian. First Name Last Name Relationship to Student - Please select an option -GrandparentSiblingAuntUncleFriendCarerOther Please specify Phone Home Work Add another emergency contact Add another emergency contact Add another emergency contact Emergency Contact Details (2): First Name Last Name Relationship to Student - Please choose an option -Parent/GuardianUncleAuntFriendCarerOther Please specify Phone Home Work Add another emergency contact Add another emergency contact Add another emergency contact Emergency Contact Details (3): First Name Last Name Relationship to Student - Please choose an option -Parent/GuardianUncleAuntFriendCarerOther Please specify Phone Home Work Primary Contact Authorisation Signature I verify that the information provided in this form is accurate. I have no objection to the school making contact to confirm any of the above details. SaveClear Submit Information
