Kit Carson School
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Bullying Report
The contents of this report are strictly confidential. Only the district ADMIN will have access to the records once the forms have been submitted.

What Can I Report
• Safety threats, bullying, harassment or intimidation at school
• Safety threats, bullying, harassment or intimidation outside of school
• Cyberbullying; Facebook, Instagram, YouTube, etc.
• Fights, drugs, alcohol or weapons at school
• Friends who talk about hurting themselves

Where did the incident occur? *
When did it happen? *
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YYYY
What time did it happen? *
Required
How many times has this situations happened? *
Have you reported this to an adult? *
Who was bullying, harassing, intimidating or causing harm? Include first name, last name and grade if known. *
Who was the person being harmed, bullied, harassed or intimidated? Include first name, last name and grade if known. *
Describe what happened. Give as much information as you can. Let us know if there were any witnesses. *
Who are you? *
What is your name?
If you would like someone to contact you, please add your email or phone number here.
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