KAYBC Concern Form
The form should be filled out entirely, with as many details as possible, by the submitter. Your name does need to be supplied on the form in case further questions/clarifications are necessary. The information supplied in the concern form will never be shown/shared directly with the individual involved. 
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Email *
Who is the concern about? *
Mark all that apply to this individual. *
Required
What grade and gender is involved?
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
N/A or Other
Boys
Girls
Description of the concern (Mark all that apply) *
Required
Summary of the incident/issue (please email kaybc1999@gmail.com if more space is needed) *
Your name (only forms with the name of the submitter will be considered) *
A copy of your responses will be emailed to the address you provided.
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