CY Singer Concern / Incident Form
If you are concerned about a CY Singer (ie, worry of emotional challenges, abuse/self-abuse, bullying, drugs/alcohol, or suicide), or you witnessed / were involved in an incident at a CY event that should be brought to the staff or board's attention, we ask you to fill out this form immediately.

A member of the CY Leadership Staff or Board will reach out directly to the parent to share your concern. You will remain anonymous to those involved, but we ask that you identify yourself so that you can be contacted by a Staff or Board member in case further information is needed.

Email address *
Your Last Name *
Your answer
Your First Name *
Your answer
Cell Number *
Your answer
Singer(s) / Person(s) involved (please list all parties) *
Your answer
Singer's Program *
Required
Date on which you observed concern / incident took place *
MM
/
DD
/
YYYY
Please tell us what you observed / took place *
Your answer
What else do we need to know? *
Your answer
Submit
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