Parent Interaction Follow-Up

Date*

Parent Name*

First Last

Parent Email Address*

Parent Phone*

Child's Name

First Last

Grade Level*

First School Year in CASS

Christian Academy Campus-Please check all that apply.

Additional details about the family-including additional children and grade level(s)

Departments Involved- Please check all that apply

Parent Interaction Details

Next Steps Taken

Follow-Up Plan

Outcome of Interaction and Follow-Up