Merrick Student Information Form Updated Student Information It is important that Merrick Academy has your child's current information on file. If your home address, email, or phone number has changed from the beginning of the school year, please fill out this form. OK Question Title * 1. Student Name (last name, first) OK Question Title * 2. Student OSIS number or Grade OK Question Title * 3. Parent's Name OK Question Title * 4. What information is new ? Email address Home address Phone Number Other OK Question Title * 5. Please provide the new information Address Address 2 City/Town State/Province ZIP/Postal Code Country Email Address Phone Number OK Question Title * 6. Is the information provided above a permanent change or temporary change? The new information is permanent The new information is only temporary OK Question Title * 7. If temporary, please explain. OK DONE