Editing previous response:

Please fix the highlighted areas below before submitting.

Updated Contact Information Form

RAPCS Logo

Please use this form to update your child's emergency contact information for Richard Allen Preparatory Charter School.

Please note that any requested changes will be processed only after our Main Office verifies that you are the student's parent or legal guardian and have the legal authority to access the student's educational records and request changes to their contact information.

The identification and demographic information (parent/guardian name, student name, student DOB, etc.) you provide on this form will be compared with the information currently on file. If we are unable to verify your identity or if the information provided does not match our records, the requested changes cannot be authorized or updated in our system.

Thank you for choosing Richard Allen Preparatory Charter School!

"Think Globally, Act Locally."

Student's First Name*

Answer required for "Student's First Name"

Student's Last Name*

Answer required for "Student's Last Name"

Student's Date of Birth*

Answer required for "Student's Date of Birth"

Please type the first and last name of the contact whom you like to update.*

Answer required for "Please type the first and last name of the contact whom you like to update."

Mobile Phone*

Answer required for "Mobile Phone"

Secondary Phone*

Answer required for "Secondary Phone"

Work Phone

Number Required

Email Address*

Answer required for "Email Address"

Street Address

Answer required for "Street Address"

City

Answer required for "City"

Zip

Answer required for "Zip"

Please upload a valid form of identification (Driver's License, State-Issued ID, Passport) for the parent/guardian authorizing this change.*

Answer required for "Please upload a valid form of identification (Driver's License, State-Issued ID, Passport) for the parent/guardian authorizing this change."

Choose a file or drag it here.

By signing below, you certify that the information you have provided is true and accurate to the best of your knowledge and that you have the legal authority to enroll, withdraw, and make educational decisions on behalf of the aforementioned student, including accessing and requesting changes to the student's educational records.

You understand that Richard Allen Preparatory Charter School will verify your identity and legal authority before processing this request and reserves the right to deny or reject any request that cannot be properly verified.

Signature*

Signature Required

Confirmation Email

Confirmation Email *

Answer required for "Confirmation Email"