Update family details

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Complete the form below if your family contact details have changed since enrolling at our school.

Please complete a change form for each parent/carer as required.

The Department of Education through Kalkie State School is collecting personal information in accordance with the Education (General Provisions) Act 2006 in order to update family detail records. The information will only be accessed by employees of the Department of Education. The information will not be given to any other person or agency unless prior consent is obtained.

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Child's surname: *

Child's given name: *

Update all students in family?

Yes

No

First parent/guardian/carer given name: *

First parent/guardian/carer surname: *

Address: *

Post code: *

Home phone number: *

Mobile number:

Work phone number:

Email:

Does student/s reside with this carer?

Second parent/guardian/carer given name:

Surname:

Address if different from above:

Postcode if different from above:

Home phone if different from above:

Mobile:

Work phone:

Emergency contact name: *

Emergency contact phone: *

Court/custody order documention:

Please attach documentation if applicable

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