Student Updated Day Form

STUDENT UPDATED DAY FORM

Use this form to notify the school of updates to the student's daily information, including contact details, authorized pick-up, transportation, medical needs, and schedule changes. The information provided herein will replace prior records for the student named below upon acceptance by school administration.

Student Identification

Student Name:   Date of Birth:

Student ID:   Grade / Program:

Primary Contact Information

Emergency Contacts

Authorized Pick-Up and Transportation

List persons authorized to pick up the student (school will verify identification on pick-up). Add relationship and best contact number.

Student transportation arrangement (check all that apply):

Bus    Parent/Guardian car    Walk home    Other (specify below)

Medical Information and Health Services

Allergies, chronic conditions, or health concerns that school personnel should be aware of:

Will the student require medication administration at school? Yes No

Schedule Changes and Attendance

Effective date for these updates:

Requested schedule change (check all that apply):

Full day    Half day    Alternate day schedule   

Custody, Legal, and Release Restrictions

Is there a court-ordered custody or release restriction on file or that the school should be aware of? Yes No

Media Release and Permissions

The school may from time to time photograph or record students for educational, public relations, or instructional purposes. Please indicate permissions below (check one for each).

Photo & Video Release: Grant Deny

Acknowledgments and Certifications

By signing below, I certify that the information provided on this Student Updated Day Form is true and complete to the best of my knowledge. I understand that the school will rely on this information in providing care, education, and emergency response for the student. I agree to notify the school of any further changes within 48 hours of receiving them.

I authorize school personnel to seek and consent to emergency medical treatment for the student if I cannot be reached, and I agree to be financially responsible for such treatment. I release the school and its employees from liability to the extent permitted by law for actions taken in good faith consistent with this authorization.

I acknowledge that falsification or omission of material information may result in disciplinary action and that the school may require supporting documentation for certain changes (for example, custody orders or medical orders).

Is the student 18 years of age or older? Yes No

Optional Comments or Additional Information

Sign Now