WJNC: Report a child safety concern
Form for reporting of a child safety related concern for Williamstown Juniors Netball Club, Victoria, Australia
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We want you to know, all details below will be kept strictly confidential. Once we have reviewed your responses we will be in touch with you before we do anything else. Do you understand this?

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Full name of the person completing the form.

Please note: if you do not provide full and accurate details, we may not be able to respond appropriately to your concerns raised.

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What is your phone number? *
What is your email address?
How old are you?
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Whose concern are you reporting? You may be reporting your own concerns or the concerns of another person.

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What is your role or involvement in Williamstown Juniors Netball Club?

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Date of the complaint or incident *
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Please provide as much information about the concern as you can. i.e. location, time, what was noticed, what was done or said, by who, please include description of any injuries and other relevant information. 

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If you are a child and are concerned, upset or worried about anything, you can call Kids Helpline on 1800 551 800 or Lifeline on 131 114. They are there to speak to in confidence, anytime, day or night. 


If you believe a child is in immediate danger please call Police on 000.

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