If your family goes through any change (i.e. move to a new home, illness, new baby, etc.) or you have any concerns regarding changes in your child's behavior, you can complete this form.

This form will go directly to our Tier II Coach, who will help your child find a Pepper Pal and begin our Check-In, Check-Out intervention. This is a low-level support to give your child an extra adult who meets with them daily and informally checks in to see how their day is going; research has shown building relationships helps children regulate their emotions and feel safe during times of stress or change.