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Lakota Listens: Restraint & Seclusion

Required

Lakota Local Schools is committed to listening to our parents, students, staff and community. Please complete this form if you have a concern or complaint regarding an incident with your child that involved restraint and/or seclusion.

Please note: We ask that you speak directly with a teacher or building administrator prior to contacting Lakota Listens. Please be prepared to note who you spoke to and when, as well as the outcome, when completing this form. To view school or staff member contact information, please visit the Locations, Hours & Contact Information landing page or Lakota's staff directory. 

Have you spoken to a teacher or school administrator? required
What is your relationship with Lakota Local Schools?requiredIf multiple, which one best applies to the reason for this communication?
If multiple, which one best applies to the reason for this communication?
(Must contain a date in M/D/YYYY format)
What is your name?requiredTo receive a response, please enter your name and at least one method of contact.
First Name
Last Name
To receive a response, please enter your name and at least one method of contact.
What is your child's name?
First Name
Last Name
Please speak to a teacher or building administrator prior to completing this form. School contact information can be found on our website.