1 Step 1 The completion of this form is needed if your child is living with one parent, or is shared jointly between both parents living in two different households. Child NamePlease enter your child's full name Name of Custodial ParentParent with whom the child resides Custodial Parent Street Address Custodial Parent City Custodial Parent Zip Code Custodial Parent Phone Numberphone Custodial Parent Emailemail If custody is joint, name of who joint custody is shared with: Name of Non-Custodial Parent Non-Custodial Parent Street AddressIf known Non-Custodial Parent City Non-Custodial Parent Zip Code Non-Custodial Parent Phone Numberphone Non-Custodial Parent Emailemail Do you as the custodial or joint custodial parent have legal custody through a court order?YesNo If there is a court order, does it permit the child to be released to the non-custodial parent?YesNo Does the court order allow the non-custodial parent to access school records?YesNo Please provide any additional information regarding custody.0 / Please provide a copy of any court order or custody agreement that may exist.You may upload multiple files.cloud_uploadUpload Signature Parent/Guardian Signature(Sign Here)Clear Signature reCaptcha v3 Submit Form keyboard_arrow_leftPrevious Nextkeyboard_arrow_right