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Changes to contact details

​Much of our communication with families is electronic so it is therefore important that your contact details are up to date in order that we can keep you informed. We may also need to call you should your child be sick or injured.

The Department of Education and Training, through Peregian Springs State School, is collecting personal information in accordance with Education (General Provisions) Act 2006 (PDF, 1MB) in order to update family and student emergency contact details. The information will only be accessed by Department of Education and Training. The information will not be given to any other person or agency unless consent is provided

 

 Only complete fields below where changes are required to stored information

 
  • Student surname
    Mandatory field
  • Student given name
    Mandatory field - (Only complete fields below where changes are required to stored information)
  • Parent/Guardian contact 1 - Name
  • Parent/Guardian contact 1 - Address
  • Parent/Guardian contact 1 - Home telephone
  • Parent/Guardian contact 1 - Occupation and place of work
  • Parent/Guardian contact 1 - Work telephone
  • Parent/Guardian contact 1 - Mobile
  • Parent/Guardian contact 1 - Email address
  • Parent/Guardian contact 2- Name
  • Parent/Guardian contact 2 - Address
  • Parent/Guardian contact 2 - Home telephone
  • Parent/Guardian contact 2 - Occupation and place of work
  • Parent/Guardian contact 2 - Work telephone
  • Parent/Guardian contact 2 - Mobile
  • Parent/Guardian contact 2 - Email adress
  • Additional emergency contact priority 1 - Name
  • Additional emergency contact priority 1 - Relationship to student
  • Additional emergency contact priority 1 - Home telephone
  • Additional emergency contact priority 1 - Work telephone
  • Additional emergency contact priority 1 - Mobile
  • Additional emergency contact priority 2 - Name
  • Additional emergency contact priority 2 - Relationship to student
  • Additional emergency contact priority 2 - Home telephone
  • Additional emergency contact priority 2 - Work telephone
  • Additional emergency contact priority 2 - Mobile
  • Additional emergency contact priority 3 - Name
  • Additional emergency contact priority 3 - Relationship to student
  • Additional emergency contact priority 3 - Home telephone
  • Additional emergency contact priority 3 - Work telephone
  • Additional emergency contact priority 3 - Mobile
  • Name and contact number of person completing form
    Please note that no alterations will be made to your stored contact information until we have made a phone call to verify any changes as indicated. I confirm that the above information is correct and understand that these details will be verified by the school before information is changed in school records.