Bullying Incident Reporting
This form is to report bullying of your child or any other child at our school. Your responses and investigations will be overseen by the office of the principal. These reports will be taken seriously and followed up on whether your report it anonymously or leave your contact information.

Thank you,
Principals Houpt, Godkin, and Shreckengast
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Reporter Name (not required)
Reporter Contact Info (not required)
Reporter Reply to Email (not required)
This can be a parent/guardian email address. It is not required, but if not used response may be longer.
Date and Time of Incident *
Students Involved *
Description of Incident *
Please enter as many details as you can to help us with our investigation.
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