Crusader Community Outreach- Special Intention Needs
The purpose of special intentions is to reach out to families who have children at CtRCS who are significantly ill or injured. Based on the information provided, the Community Outreach Committee will coordinate a small gift for the child to be delivered to the home or hospital. In addition, the volunteer committee will coordinate with the teacher to have a card signed by the class, and deliver coursework if necessary. Meals for the family will be determined separately.
Name of Student
Your answer
Parent(s) Names
Your answer
Homeroom Teacher
Please list injury or illness
Your answer
Hospital Room Number (if applicable)
Your answer
Home Address
Your answer
Length of time student has been or is expected to be out of school
Your answer
Anticipated return to school date
Your answer
Does homework need to be delivered to the home?
Have meals been coordinated for this family?
Please specify any other needs you may like to request
Your answer
How would you prefer to be contacted? Please list email or cell phone number or BOTH.
Your answer
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