Bradley County Schools Contact Information Change Form

Welcome to the Bradley County Schools Technology Website.
Have you changed your address? Have you changed your phone number? Have you changed your email address? Have you changed who you live with? If so, please complete the Contact Information Change Form below. Required fields marked with an asterisk (*).
If you have more than one student, you will need to complete the form multiple times.
Student Information:
Student Name (Legal Name)
School
Grade
Lives with:*
Mother
Father
Both Parents
Other Legal Guardian
State Custody
When a call is made about your child, what number should we call? Call #1
Call #2
Call #3
Call #4
Mother's Information:
Mother's Name
Maiden Name
Mother's Address (include City, State, and Zip)
Mother's Home Phone Number
Mother's Cell Number
Employed By: Mother
Mother's Work Number
Mother's Email Address
Father's Information:
Father's Name
Father's Address (include City, State, and Zip)
Father's Home Phone Number
Father's Cell Number
Employed by: Father
Father's Work Number
Father's Email Address
Custody/Legal Guardian's Information:
Custody/Legal Guardian's Name
Custody/Legal Guardian's Address (include City, State, and Zip)
Custody/Legal Guardian's Home Phone Number
Custody/Legal Guardian's Cell Number
Employed by: Custody/Legal Guardian
Custody/Legal Guardian's Work Number
Custody/Legal Guardian's Email Address
Relationship to Student
Parent/Guardian Signature*
Date*
MM slash DD slash YYYY
Consent*
All information is correct to the best of my ability.