cksdbulldogs Forms Phone / Email Request

	Please re-enter information labeled in color

Phone / Email Request

Security Measure

This form will allow you to request to add a phone number or to make changes to your existing phone numbers or email address for the emergency calling system. Phone numbers must be a direct number with no extensions. You can also make changes by going to https://claysburgkimmelpa.infinitecampus.org/campus/portal/claysburg_kimmel.jsp

Name

Student's Name

Telephone 1

Telephone 2

Telephone number to be removed if any?

Email Address

Claysburg-Kimmel?

High school

Elementary

Claysburg-Kimmel School District