Legal Custody Form

Student information

Student Full Name*

Graduation Year*

Address*

Address 2

City*

State/Province*

Zip/Postal code*

Residential parent/guardian information

Residential Parent/Guardian Name(s)*

Residential Parent/Guardian Address*

Address 2

City*

State/Province*

Zip/Postal code*

Residential Parent/Guardian Phone Number(s)*

Residential Parent/Guardian Emails(s)*

Non-residential parent/guardian information

Non-Residential Parent/Guardian Name

Non-Residential Parent/Guardian Address

Address 2

City

State/Province*

Zip/Postal code*

Non-Residential Parent/Guardian Phone Number

Residential Parent/Guardian Email

Is there a court decision that states that the non-residential parent should NOT receive school information or attend school activities?

YesNo

Does the non-residential parent have visitation rights?

YesNo

Is the non-residential parent responsible for paying tuition?

YesNo

If parents are divorced...

Please include a certified copy of the decree bearing the case number, judge’s signature, and court seal with pages referencing custody arrangement and school contacts.

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