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Change of Address / Contact

Please only fill in the portion of the form that will be changing. You must complete this form for each student.

**Documentation is required for any address or parent/guardian changes.

*Student Name:

*School Building:
Sandman School
Maud Abrams School
Mitnick School
Memorial School

Street Address:

City: (If there is an address change, we will need proof of residency)

Number Used For Phone Notifications:

Home Phone:

Cell Phone:

PARENT / GUARDIAN INFORMATION

Full Name:

Relationship:

Home Phone:

Cell Phone:

Employer Name:

Work Phone:

EMERGENCY CONTACTS

Full Name:

Relationship:

Home Phone:

Cell Phone:

*Name of Person Submitting Changes:

*Your Email Address:
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MITNICK SCHOOL
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MEMORIAL SCHOOL
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PARENTS / STUDENTS
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905 Seashore Road • Cape May, NJ 08204 • (609) 884-9400