Your Child's Name
*
Your Child's Date of Birth
*
-
Month
-
Day
Year
Date
Your Child's Grade (in September 2025)
*
Your Child's School District
*
Disability Listed on Your Child's IEP
*
Your Name
*
First Name
Last Name
Your Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Your Email Address
*
example@example.com
Your Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Has your child received less than full days at school for more than 30 days during the 2025-2026 school year for any non-medical reason?
*
Yes
No
How many less than full school days has your child received?
*
Did you sign an agreement to a shortened school day even though you believed that your child could successfully attend a full day with if given the behavioral supports they need?
*
Yes
No
Please check all of the following reasons you agreed to a shortened school day:
Your child is frequently sent home early because they are having a "bad day"
Your child is frequently sent home early because of "inadequate staff"
Your child is repeatedly suspended
Other (Desribe in 1-2 sentences)
How many times a week has your child been sent home due to a "bad day?" during the 2025-2026 school year?
*
How many times a week has your child been sent home due to "inadequate staff?" during the 2025-2026 school year?
*
How many days has your child been suspended during the 2025-2026 school year?
*
Was your child placed on home instruction because you would not sign an agreement to a shortened school day?
*
Yes
No
Are you willing to speak with a Disability Rights Oregon attorney about possibly submitting a formal declaration describing your child's experience after Senate Bill 819 passed?
*
Yes
No
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