Brave Heart Louisiana Tracking Card
Thank you for your partnership with Brave Heart to serve children who have been abused or neglected. At Brave Heart, we understand it takes many stakeholders working together to support the challenging work you do, and most importantly, to ensure children are the focus of all of our efforts.

A special thanks for taking a minute to complete this card. This information is CRITICAL as we utilize aggregate data to tell the story of your work and of Louisiana's children to donors, partners and others who support our mission. If you have any questions please contact us: info@braveheartchildren.org

Bag ID # (4 digit number on tag attached to backpack) *
Your answer
Child's Gender *
Age of Child/Youth *
Child's Initials *
Your answer
Date Child/Youth was Given Backpack *
Your answer
Worker *
Your answer
Worker's Email Address *
Your answer
Parish *
Your answer
DCFS Region *
Your answer
Other Comments / Suggestions to Improve Brave Heart
Your answer
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