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Student Wellness & Safety Form
Thank you for keeping students and our school safe. We wish for all students to have a positive, healthy and flourishing experience at school. An administrator will follow up within 48 hours to your report or request.
Email address *
Please share your name. *
Your answer
Please check the box below to indicate all feedback shared is truthful and that you understand disciplinary action will be taken if this form is misused. *
What area of concern are you reporting? *
What concern or need are you reporting? *
Your answer
If applicable, where did the area of concern occur? *
Your answer
Were others involved in the area of concern? If so, whom? *
Your answer
Have your reported this concern to anyone else? *
Your answer
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