Your Name*Your Email Address*Your relationship to Porter-Gaud:*Choose all that apply. Current Parent Employee Graduate Current Grandparent OtherYour class year.*Names of your children.*Names of your grandchildren.*This change affects:*My entire familyMe and my childrenOnly meIs this change due to a change in marital status?*YesNoHow should we code your marital status?MarriedSeparatedDivorcedOtherIf 'other' please specify*If you have a new spouse, would you like their information in the database?*YesNoSpouse's Email AddressSpouse's Phone NumberChanges in Information What information would you like to update?* Address Phone Number Email Address Employment Information Emergency Contact Grandparent Information Name ChangeWho does the name change affect?* Me My Spouse My ChildPlease enter the new full name in the box below.*Is this a legal name change?*If yes, one of our staff members will contact you to obtain legal documentation to support this change. YesNoPlease provide your new street address.*New Phone Number*Who is this phone number for?*MeMy spouseYour new email address*Who is this email address for?*MeMy SpouseNew Employer*This employer is for:*MeMy SpouseEmergency Contact Relationship*Emergency Contact Name*Emergency Contact Phone*Emergency Contact Email Address*Grandparent Name*Grandparent Relationship*Select one optionMaternal GrandmotherMaternal Grandfather Paternal Grandmother Paternal GrandfatherGrandparent Email Address*Grandparent Street AddressI would like to be contacted to provide information not available on this form.YesNo Submit
