Change of Address Form

Sugar Creek Charter School

"Where strong minds and strong character are valued and nurtured."
Date *

Month Day Year
Date
List all Students of Sugar Creek with grade levels *
Former/Old Address: *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
New Address: *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
#1 Parent or Guardian Name *

First Name Last Name
Telephone # of the above #1 Parent.Guardian *
Relationship of the above #1 Parent.Guardian *
# 2 Parent or Guardian Name

First Name Last Name
Telephone # of the above # 2 Parent.Guardian
Relationship of the above # 2 Parent.Guardian
Select Transportation Type *

Bus AM Only Bus PM Only Bus Both AM & PM Car Van Walker
- Please provide TWO forms of Verification
Forms of Verification include:
- (REQUIRED)Leasing/Rental/Mortgage Agreement
- Any Utility Bill (Water, Power, Gas, Etc.) Telephone bills will not serve as proof of address.
The provided bills must be in the name of the parent or guardian of the student.
Leasing/Rental/ Mortgage Agreement (1st Page ONLY) *

Browse Files

Cancel of
Utility Bill *

Browse Files

Cancel of
Parent or Guardian Signature

Clear
Should be Empty:

Sugar Creek Charter School