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Parent-Counselor Request Form
*If this is an emergency, please call the school as we are with students or in classrooms and may not see your request immediately.*

If you would like for a counselor to speak with your child, please complete the form below so that we can best meet your concerns. Mrs. Millican is the counselor for 6th grade, Mrs. McLamb is the counselor for 7th grade, and Ms. Bursey is the counselor for 8th grade students.
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Parent Name
 *
Student Name *
Grade Level of Your Child *
Day Time Phone Number *
Parent E-mail Address *
I would like for a Counselor to speak with my child about the following: *
Please explain below or elaborate on what you have checked above. *
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