This Form will be shared with your child's school to update Powerschool

District

School

Grade

Student Last Name

Student First Name

Birth Date

GSACRD STUDENT ID#:

Please select one of the following Selection required

Home Address

Parent 2 Address

Sitter Address

Phone number only

Provide details below

Street Number

Street Name

City

Postal code

Apartment

Contact information

Contact 1

First Name

Last Name

Home Phone

Work Phone

Cell Phone

Contact 2

First Name

Last Name

Home Phone

Work Phone

Cell Phone

Effective Date

Submitted by

Last Name

First Name

The information provided on this form, collected under the authority of the Protection of Privacy Act, will be used to provide and support programming and services in Greater St. Albert Catholic Schools. Questions regarding the collection and use of this information can be directed to the Transportation Manager or Access and Privacy Coordinator at 780-459-7711. The information may be used in automated systems to fulfill the purpose stated above

This Form will be shared with your child's school to update Powerschool

More than one student matches the criteria submitted. Please select the student to use

Contact 1

Contact 2

<%= Resource: Campaigns_Prompt%>