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Comprehensive District Design
Student Change of Information

If you have a change of address or phone number, please fill out this form.
Student First Name 
Student Last Name 
Room # 
Student ID# 
New Address 
Apt# 
Zip Code  
Home Phone #  
Is this a Cell Phone #?
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 #?
What phone number should school call first? 
Comments 

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