Contact the Parent Council Coordinator

Contact the Office of Parent Relations

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* = required field

Personal Information

Parent Name

First

Last

Student Name

First

Last

MICA Graduation Year

Email Address *

Address *

Street Address

Street Address Line 2

City

State / Province / Region

Postal / Zip Code

Country

Phone Number *

###

####

I would like (check all that apply)

Update my home address information

Other

Your Question

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