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Student Contact Verification Form

Changes to the current contact information that we have on record can be made by completing the information below.

Address changes CANNOT be completed on this form. You must bring residency verification to central registration at Mattituck Jr/Sr High School.

Please contact the school health office annually to update your child's health history. This include any NEW medications, diseases, allergies, injuries, surgeries and/or medical conditions.

Update only the fields you would like changed.