CLMS Request to Update Parent/Guardian Contact Information

By completing this form you will be requesting a PDF fill in form be sent to you to update your student's emergency contact information in myStudent. ALL information entered in this form must match the information we currently have in myStudent for your student with the exception of an updated email address.

Student ID Number:
Must be 6 digits. Currently Entered: 0 digits.
This is the 6 digit Pasco student identification number.
Student Name: Student Name: First Last
Student's Date of Birth: Student's Date of Birth: / MM / DD YYYY
Student's "Silly" Password:

This is the password your student uses to log in to their myPascoConnect account.
Parent/Guardian Name: Parent/Guardian Name: First Last
Only requests by parents/guardians who are currently listed on the student's contacts in myStudent will be processed. Parents/Guardians not listed in myStudent MUST contact CLMS to make any updates.
Parent/Guardian Phone Number: Parent/Guardian Phone Number: - ### - ### ####
Parent/Guardian Email Address:

This is the email address to which the PDF fill in form will be sent.
Statement of Understanding & Agreement

By electronically signing below I understand:
1) This is a request to be sent a PDF fill in form to the email address provided above which must be completed and returned to complete changes to contact information in myStudent
2) The process of updating student contact information is a manual process that can take up to 7 working days (IF THIS IS AN EMERGENCY CHANGE: Please contact the CLMS office directly at (727) 246-1600)

By electronically signing below I agree, I am a parent/legal guardian with legal rights and abilities to act in said legal capacity for the above named child.
Draw your signature the area below.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Once you have submitted this form, you will receive an email with further instructions. If you do not receive the email immediately following your submission, please check your junk or spam mailboxes for the email. You can also contact the Registrar, Sharon Koldziej, at sbauersf@pasco.k12.fl.us or the Data Entry Operator, Liz Luna, at eluna@pasco.k12.fl.us.

CLMS Request to Update Parent/Guardian Contact Information

CLMS Request to Update Parent/Guardian Contact Information

Statement of Understanding & Agreement