Family Check-In

Welcome, Warriors

This form helps the Smithville Warrior Closet track the number of students and families served. The information collected may also be used to connect your family with community resources and support services that could be beneficial to you.

Date of visit

Auto-filled to today — change if needed.

Are you new to Smithville schools?

Yes No

Parent / caregiver name(s)

Family / last name

Household type

Children & their school

Phone number

Email address

Other community resource needs (confidential)

Is there any additional support your family may benefit from, such as dental care, vision care, utility assistance, counseling services, food assistance, job or employment support, or other community resources? Please share any needs confidentially below, and we will do our best to connect your family with available resources in our area.

All information is stored locally on this device.

Visit Log

Every check-in recorded at the Warrior Closet.

From

Date	Family	Parent(s)	Household	New?	Children	Contact	Resource needs	—

Welcome, Warriors

Visit Log

Staff access

Clear all check-ins?