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Contact Card Change Form

Required

Your Namerequired
First Name
Last Name
Your Relationship to Porter-GaudrequiredPlease choose one.
Please choose one.
This change of information affects:required
Is this due to a change in marital status?
How should we code your new marital status?We may contact you directly for more details on how you want this handled.
We may contact you directly for more details on how you want this handled.
If you have a new spouse/partner, do you want them included in our database?required
Should your new spouse/partner receive communications from Porter-Gaud that relate to your child(ren)?required
New Spouse/Partner's Namerequired
Prefix (optional)
First Name
Middle (optional)
Last Name
Suffix (optional)
Please fill in the fields below with the information that has changed.  You are not required to fill out the fields that have not changed.
Name
Prefix
First Name
Middle
Maiden
Last Name
Suffix
Would you like to update your spouse/partner information?
New Spouse/Partner's Namerequired
Prefix (optional)
First Name
Middle (optional)
Last Name
Suffix (optional)
If you have completed a new degree, or the information we have for you is incorrect, please update.
This email 1 update is for:
This email 2 update is for:
This cell phone 1 update is for:
This cell phone 2 update is for:
Update Emergency Contact Information, in the event parents cannot be reached.
I would like to update grandparent information for my child(ren):We sometimes host events for grandparents of our students, so having their information is helpful.
We sometimes host events for grandparents of our students, so having their information is helpful.
Grandparent 1 Namerequired
First Name(s)
Last Name
Grandparent 1: Maternal or Paternal?

 

Grandparent 2 Name
First Name(s)
Last Name
Grandparent 2: Maternal or Paternal?
Additional Information: