Parent Contact – Connections High School

Parent Contact Details

Please complete and submit only ONE form per student. Please complete the following details so that we can ensure that we have the correct information in our new admin system.

Student Name(Required)

First Last

Student Main Home Address(Required)

Street Address Address Line 2 Suburb State Postal Code

Parent 1 Name(Required)

First Last

Parent 1 relationship to student(Required)

Parent 1 Phone(Required)

Parent 1 Email(Required)

Parent 1 Home Address (if different to above)

Street Address Address Line 2 Suburb State Postal Code

Parent 2 Name

First Last

Parent 2 Relationship to Student

Parent 2 Phone

Parent 2 Email

Parent 2 Home Address (if different to above)

Street Address Address Line 2 Suburb State Postal Code

Parent 3 Name

First Last

Parent 3 Relationship to Student

Parent 3 Phone

Parent 3 Email

Parent 3 Home Address (if different)

Street Address Address Line 2 Suburb State Postal Code

Parent 4 Name

First Last

Parent 4 Relationship to Student

Parent 4 Phone

Parent 4 Email

Parent 4 Home Address (if different)

Street Address Address Line 2 Suburb State Postal Code

Emergency Contact other than parent

First Last

Emergency Contact Relationship to Student

Emergency Contact Phone

Student Lives With:(Required)

Parent 1

Parent 2

Parent 3

Parent 4

Check as many as appropriate

Email Communication To Be Sent To:(Required)

Parent 1

Parent 2

Parent 3

Parent 4

Check as many as appropriate

Order of Phone Contact or Family Relationships

Parent 1
Parent 2
Parent 3
Parent 4
Emergency Contact

Please place these in order of preference for contact via phone

Other Information We Should Know Regarding Contact or Family Relationships