Castle Rock Anonymous Reporting Form
Your name or initials (optional)
Your answer
Your grade:
Your answer
I am a: *
About the OFFENDER (or bully): Name? (if you know it)
Your answer
About the OFFENDER (or bully) - their grade (if you know it)?
About the OFFENDER (or bully) - their gender?
Are *you* the victim of this bullying? *
If you are not the victim, can you tell us the VICTIM'S NAME? (if you know it)
Your answer
About the VICTIM: their grade level (if you know it)?
Your answer
About the VICTIM - their gender?
Were there other witnesses?
If there were other witnesses, please list them here:
Your answer
Describe what happened IN DETAIL: WHO was involved, WHAT happened, WHERE was it, and WHEN did it happen?
Please don't just say "someone was mean to me." Use SPECIFIC DETAILS, such as, "during lunch, Josh R. hit pushed me and took my lunch from me."
Your answer
What else would you like to add?
Your answer
ALL reports are investigated. Click SUBMIT to send us your report. Your report is confidential!
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