Speak Out Safely
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Name (you don’t have to give us your name if you prefer not to)
Year *
Name of the person(s) who are causing you problems *
Who is the main person involved in the bullying? *
How long has this been going on for? *
Details of issue *
How has this affected you?
What you would like the school to do about it?
Anything else you would like us to know?
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