Care Card
Use this form if something is bothering you that you'd like to discuss with someone you can trust.
What is your concern?
Who are you concerned about?
When and where does it usually happen?
Clear selection
How does it make you feel?
Who would you like to share your concerns or problems with?
Name
Leaving your name is not required but it helps us to follow up if more details are needed.
Submit
Never submit passwords through Google Forms.
This form was created inside of Lakeview Public Schools. Report Abuse