Fort Cobb

This form is for non-custodial parents/guardians that wish to recieve educational information about your child. Please complete the form and submit ONLY if you did not complete the on line enrollment or if there is a change in custody status.

Thank You.

Please Fill Out The MS/HS Non-Custodial Parent Information Request Form Below

Student's Grade Level:

Reaquired field: 6th Grade

Reaquired field: 7th Grade

Reaquired field: 8th Grade

Reaquired field: 9th Grade

Reaquired field: 10th Grade

Reaquired field: 11th Grade

Reaquired field: 12th Grade

Students Name:

Parent/Guardian Name:

Mailing Address:

City:

State:

Zip:

Cell Phone(s): (This Phone may receive text messages or notifications)

Home Phone:

Work Phone:

Contact Choice (Will receive text):

I hereby give permission to Fort Cobb Broxton School District to email information to me at the following email address:

I give Fort Cobb-Broxton School personnel permission to use these means listed, including text messaging, as a means to contact me or my child concerning school related topics. I understand that I may receive information regarding my child(ren) to include, but be limited to, student absences, grade notices, lunch bills, and other information specific to the school district. My signature below constitutes permission to send this information to my email address listed above. Parent/Guardian Signature:

Email a copy to

optional

Required Fields

FORT COBB BROXTON SCHOOLS

MS/HS Non-Custodial Parent Information Request Form