Garrisonville Elementary School Counseling Referral - Parent/Guardian Version
Please use this form to request that the school counselor meet with your student.
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Email *
Your name (First and Last). *
Relation to student (parent, grandparent, legal guardian, etc.) *
First and last name of the student. *
Grade Level *
Reason for referral. *
Required
Please use this space if you'd like to include a brief description of the concern.
I understand that this form should be used for non-emergency situations ONLY. If there is an emergency (student wants to harm self, others, or is in danger of harm), please contact Miss Clarke, Mrs. Sears, Ms. White, or Mrs. Odlum IMMEDIATELY either in person or over the phone. *
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