2023-2024 Family Request Form for Assistance
The staff at Avalon is dedicated to supporting the complex needs of our students' behavior, academic, and emotional well being. If you have concerns about your child's behavior, academic, and/or emotional well being and would like to receive more support (check-in/check-out, social skill lessons, etc.) please complete the form below for our intervention team to review and determine intervention eligibility.
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Email *
Parent Name *
Parent Phone Number *
Student First Name *
Student Last Name *
Student's Grade *
Student's Teacher *
Why are you referring your child to receive support? *
What is your desired outcome of the team's intervention? *
Any other information that would be helpful for the team?
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