Say Something 
Call 911 if this is an emergency or a crime in progress.
Sign in to Google to save your progress. Learn more
Email *
What is your first and last name? A phone number where you can be reached? IF you are at school, where are you right now? *
Which School is the concern/event happening at? *
Event Description: ( Including ....Who, What , When, Where and How Do You Know) *
Concern/Event Types *
What time and date did the event occur to the best of your recollection? *
MM
/
DD
/
YYYY
Person Involved :
First Name, Last Name, Grade,
Ethnicity, Gender,  Body Type/Build, Age, Glasses , Hair color or style, facial hair, tattoos, marking, scars, piercings
What were they wearing, 
*
Social Media Information:
Snap Chat/Twitter/Instagram/ Facebook Handles/Names
*
Did they have a weapon? What kind? *
Were they in a vehicle? If yes:
What kind? Color? 2 doors or 4 doors? License Plate # ?
State?
Markings? Bumper stickers, company logos, any identifying marks
*
If you have images, video, Audio or other documents, please link to :


If you have nothing to share on this section just comment " nothing to share"
*
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Santa Gertrudis ISD.

Does this form look suspicious? Report