Care Request

GRACE Care Team

The GRACE Care Team offers extra support to our families who are experiencing a life event/need (e.g. new baby, loss of a family member, etc.). We are respectful of confidential requests.

Please complete the form below. Required fields marked with an asterisk *

Who is the request for?*

Answer Required

My family

Another GRACE family

Faculty/Staff

Other

Name of GRACE Student connected to this request

Answer Required

Name of GRACE adult (parent or staff) connected to this request

Answer Required

Teacher Name

For students in TK-6th grade, please indicate their classroom teacher if you know it.

Answer Required

Type of Need/Life Event*

Answer Required

Loss of loved one

New member of family (birth/adoption)

Illness/hospitalization

Other

Additional information*

Please share any relevant details that will allow us to better care for this family.

Answer Required

Prayer Request

Please let us know how we can pray for this family and if we can share this request with the GRACE prayer teams.

Answer Required

Submitters Contact Information

First Name*

Answer Required

Last Name*

Answer Required

Email *

Answer Required

Mobile Phone

Number Required

Your role with GRACE*

Answer Required

Student

Parent of student

PTF member

Faculty/Staff

Grandparent

Preferred method of contact*

Answer Required

Phone

Text

Please fix the highlighted areas below before submitting.

Care Request

GRACE Care Team