Lubbock-Cooper High School - Name/Address/Phone Change Form

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Name/Address/Telephone Change Form

***LCISD has new parent notification system, School Messenger. Please read the important information on the district webpage.***

LUBBOCK-COOPER ISD
NAME/ADDRESS/TELEPHONE
CHANGE REQUEST FORM

Today's Date (00/00/00)

Effective Date (00/00/00)

Student Name

Grade

Campus

Previous Address                         New Address

Previous Phone (000.000.0000)                New Phone (000.000.0000)

Previous Work Phone (000.000.0000)          New Work Phone (000.000.0000)

Are there other children in the home who attend a Lubbock-Cooper school that the above change would affect him/her? If so, please complete the information below for each child.

Other child      Campus

Other child      Campus

Other child      Campus

Other child      Campus

Special Request?

Parent/Guardian (Type in name and relationship to student.)

LUBBOCK-COOPER ISD NAME/ADDRESS/TELEPHONE CHANGE REQUEST FORM

LUBBOCK-COOPER ISD
NAME/ADDRESS/TELEPHONE
CHANGE REQUEST FORM