Defend. Advocate. Empower.

Family Intake Form

Please complete this form before your consultation call. Your information is confidential and helps us show up prepared — not cold. Takes about 5 minutes.

Parent / Guardian Information

Full Name *

Phone Number *

Email Address

Preferred Contact Method

Best Time to Reach You

Morning Afternoon Evening Weekends Only

Child Information

Child's First Name *

Age & Grade

School Name

School District

Does Your Child Currently Have

An IEP A 504 Plan Neither Not Sure

Your Concern

What Do You Need Help With? *

What Have You Already Tried?

Do You Have Any Upcoming IEP or School Meetings?

Additional Information

Have You Ever Worked With an IEP Advocate Before?

Yes No

Anything Else You Want Us to Know?

The CHAD Project provides IEP advocacy and educational consultation. We are not attorneys and do not provide legal advice. All information shared through this form is confidential and will not be shared without your consent.