Safety Concern
Please use this form to log any safety concerns at Rockford Christian School MS/HS Campus.

However, please understand it is not a replacement for referring or connecting a student with a counselor or support. In addition, connecting with an administrator is also encouraged.

Email address *
My area of concern is primarily focused on *
Short Description or Student - Individual's Name *
Your answer
Please give an explanation of your concern with any details that would be important for someone who is looking into it for perhaps the first time. *
Your answer
Have you reached out to anyone else at this point with your concern? *
If Yes- who? *
Your answer
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This form was created inside of Rockford Christian School. Report Abuse - Terms of Service