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Search
About
Mission & Vision
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Board of Trustees
Academics
Departments
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Athletic Events Tickets
(opens in new window/tab)
Leadership Academy
The BL Experience
Outside Opportunities
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In This Section
Families
Information Update Request Form
This form requires Javascript to be enabled for submission and authorization.
*
Required
Parent/Guardian First Name
*
required
The first name of the parent/guardian completing this form. (Must contain only letters and spaces)
Parent/Guardian Last Name
*
required
The last name of the parent/guardian completing this form. (Must contain only letters and spaces)
Parent/Guardian Email Address
*
required
The email address of the parent/guardian completing this form.
Student First Name
*
required
The first name of your student. (Must contain only letters and spaces)
Student Last Name
*
required
The last name of your student. (Must contain only letters and spaces)
Student Grade Level
*
required
6
7
8
9
10
11
12
The grade level of your student.
Request Authority
*
required
I confirm that I have the legal right to submit this request on behalf of this student.
Request Type
*
required
Add a new parent, guardian, emergency, or other contact for my student.
Update a current parent, guardian, emergency, or other contact for my student.
Change my student's address.
Change my student's name.
Contact First Name
*
required
Must contain only letters and spaces
Contact Last Name
*
required
Must contain only letters and spaces
Contact Relationship to Student
*
required
Mother
Father
Stepmother
Stepfather
Sibling
Aunt
Uncle
Cousin
Grandparent
Caretaker
Foster Parent
Other
Contact Access to Student
*
required
Please select all that apply.
Has custody of my student
Lives with my student
Allowed to pick up my student from school
Is an emergency contact for my student
Allowed to receive email/mail about my student from the school
Please select all that apply.
Contact Phone Number
Contact Phone Number Type
Mobile
Home
Work
Contact Email Address
Contact Address Line 1
Contact Address Line 2
Apartment/Unit Number
Contact City
Official City Name (ex: Philadelphia)
Contact State
Contact Zip Code
(Must contain only numbers)
Contact Address Type
Home
Mailing
New Student First Name
Enter the first name you would like your student's first name to be listed as in the school's system
New Student Last Name
Enter the last name you would like your student's last name to be listed as in the school's system
Name Change Backing Documentation
*
required
Attach up to 1 file with a maximum size of 10MB
Select File(s)
No file chosen
Allowed file types: Image, Document
Proof of your student's name change like a birth certificate, adoption papers, or similar document.
New Student Address Line 1
*
required
New Student Address Line 2
New Student City
*
required
Official City Name (ex: Philadelphia)
New Student State
*
required
New Student Zip Code
*
required
New Student Address Backing Documentation
*
required
Attach up to 1 file with a maximum size of 10MB
Select File(s)
No file chosen
Allowed file types: Image, Document
Deed, lease, utility/credit card/property tax bill, vehicle registration, ID, government mail
Submit
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