Student Change of Information Form

Main Office:
(612) 668-4000

Lyndale.School@mpls.k12.mn.us

Main Office:
(612) 668-4000

Elementary
Three School - 5th

312 W. 34th St
Minneapolis 55408

8:25am - 2:55pm
Monday - Friday

Student Change of Information Form

If you have a change of address or phone number, please fill out this form. If you have any questions, please call the Lyndale School office at 612-668-4000.

Student First Name

Student Last Name

Room #

Student ID#

New Address

Apt#

Zip Code

Home Phone #

Is this a Cell Phone #?

yes

Mother's Cell Phone Number

Father's Cell Phone Number

Mother's Work Phone Number

Father's Work Phone Number

Relative Name

Relative's Phone Number

Is this a Cell Phone #?

yes

What phone number should school call first?

Comments

Thank you. Your Student Change of Information form has been submitted to the Lyndale School office.

After School Programs

Comprehensive District Design (CDD)

COVID-19 Resources

Family Events and Special Activities

Lyndale PTO

Lyndale Return to School Information

Planned Absence Request Form

School-Based Counseling and Mental Health Resources

Student Change of Information Form

Walk or Bike to School

Full Name:

Email:

Phone:

Are you a current student/family of the school? No Yes

Preferred method of communication
Phone Email

Thank you for requesting information. We will respond shortly.

312 W. 34th St
Minneapolis 55408

Main Office:
(612) 668-4000
Lyndale.School@mpls.k12.mn.us