Symptom Screener

2520 Huntingtowne Farms Lane
Charlotte, NC 28210
Courier #: 422
P: 980-343-3625  |  F: 980-343-3731 
LC: Southwest
Bell Schedule: 8:15 AM - 3:15 PM
Grades: PreK-5
Email School
Show School Information
Parent Information Change Form
​The school’s primary way to communicate with families is via phone, text, email messages and ParentSquare. To ensure you are receiving the necessary information, please fill out the form below. This form is for requesting a change to your child's school contact information. You may also send in a note with your student. 

Upon completion of this form, your child's teacher will be contacted regarding a change in student information. Parents will receive a confirmation via phone and/or email. If you do not receive a confirmation within 2 business days, please follow up with the school by calling (980)343-3625.

Instructions: Please complete the form below. Required fields marked with an asterisk *

Date(s) of Change: *

Select a date from the calendar.

STUDENT INFORMATION

Student First Name: *



Student Last Name: *



Student ID Number: *



Student's Grade: *



Date of Birth: *

Select a date from the calendar.

PARENT CONTACT INFORMATION

Parent First Name: *



Parent Last Name: *



Relationship to the student:



Parent Old Email Address: *



Parent Old Phone Number: *


Which form of communication needs to be changed?

Email - Please enter the new email address:



Phone Number - Please enter the new phone number:


​*For changes to your child’s emergency contacts, please visit the school, or contact our school’s main office at (980) 343-3625.

Charlotte-Mecklenburg Schools
P.O. Box 30035
Charlotte, NC 28230-0035
Phone: 980-343-3000
The Charlotte-Mecklenburg Schools website (www.cms.k12.nc.us) is in compliance with Section 504 of the Rehabilitation Act and Title II of the Americans with Disabilities Act. Any website accessibility concerns may be brought via the following, Email the Web Accessibility Team at WebAccessibility or Call: 980.343.0115. In compliance with Federal Law, Charlotte-Mecklenburg Schools administers all education programs, employment activities and admissions without discrimination against any person on the basis of gender, race, color, religion, national origin, age, or disability. Inquiries regarding compliance with Title IX of the Education Amendments of 1972, which prohibits discrimination on the basis of sex in education programs or activities, may be referred to the District's Title IX Coordinator at titleixcoordinator or to the Office for Civil Rights, United States Department of Education.