Update Your Contact Information
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General Information
This form is for updating individual/family contact information.
Name
*
Email
*
This address will receive a confirmation email
Phone
*
the above number is my:
*
Please select one option.
cell phone
home phone
Select Option
cell phone
home phone
Physical Address
*
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MH
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MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
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NS
NT
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OK
ON
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WY
YT
Mailing Address
*
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Birthday
Select Campus
*
Please select one option.
Walloon Lake
East Jordan
Alanson
Select Option
Walloon Lake
East Jordan
Alanson
Spouse Information
Name (first & last)
Spouse's email if different from above
Phone
the above number is:
Please select one option.
cell phone
home phone
Select Option
cell phone
home phone
Birthdate
Family Information
Dependent children only please
1st Child's Information
Name (first & last)
Birthdate
Grade
Please select one option.
Preschool
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
College/Young Adult
Select Option
Preschool
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
College/Young Adult
2nd Child's Information
Name (first & last)
Birthdate
Grade
Please select one option.
Preschool
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
College/Young Adult
Select Option
Preschool
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
College/Young Adult
3rd Child's Information
Name (first & last)
Birthdate
Grade
Please select one option.
Preschool
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
College/Young Adult
Select Option
Preschool
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
College/Young Adult
4th Child's Information
Name (first & last)
Birthdate
Grade
Please select one option.
Preschool
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
College/Young Adult
Select Option
Preschool
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
College/Young Adult
5th Child's Information
Name (first & last)
Birthdate
Grade
Please select one option.
Preschool
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
College/Young Adult
Select Option
Preschool
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
College/Young Adult
6th Child's Information
Name (first & last)
Birthdate
Grade
Please select one option.
Preschool
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
College/Young Adult
Select Option
Preschool
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
College/Young Adult
7th Child's Information
Name (first & last)
Birthdate
Grade
Please select one option.
Preschool
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
College/Young Adult
Select Option
Preschool
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
College/Young Adult
8th Child's Information
Name (first & last)
Birthdate
Grade
Please select one option.
Preschool
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
College/Young Adult
Select Option
Preschool
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
College/Young Adult
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