High School Student Assistance Form
BHS families in need of assistance with school uniform clothing, school supplies and/or food are eligible to complete this form. The BHS Youth Services Center will assist many families with as much as we can, but is not designed to provide all of your needs. Please only fill out information on this form in which your student needs assistance. Students in need of uniform clothing will receive 2 new/gently used shirts and pants. Please fill out a new form for each high school student you may have. If you have a student in another BCS building, please contact the schools Family Resource and Youth Services Center (FRYSC):

Early Childhood/Primary - Katrina Hayden - 502-331-8804/8810
Elementary - Catherine Jean Baptiste - 502-331-8808
Middle - Sheila Calbert - 502-331-8886 - Middle School Student Assistance Form

You will receive a phone call and/or text message when the center has your items ready for pickup. If you have any questions, please call the BHS YSC extension: 502-331-8893 - Josh Payne

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Student Name *
Student Grade *
Required
Student Gender *
Parent Name *
Parent Phone Number *
Student Shirt Size (Only check one box)
Women's Pant Size ONLY (Only check one box)
Men's Pant Size ONLY (If your student needs a unique clothing size, please indicate the waist and length size in the box listed "Other" (Ex: 46W/30L)
School Supplies (Please list any school supplies needed)
Backpack Weekend Food Program (This program is designed to assist students in need of receiving non-perishable food items to help them get through the weekend. Students receive a variety of items in their backpacks on Thursday or Friday afternoon). 
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If you have any other requests you may need assistance with, please indicate below
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