Abuse Reporting Form
Please submit one incident at a time. If you have observed multiple incidents, then please submit the form multiple times. We will share submissions with the school in as timely a manner as possible.

Definition of Abuse: Child abuse or child maltreatment is physical, sexual, or psychological maltreatment or neglect of a child or children, especially by a parent or other caregiver. Child abuse may include any act or failure to act by a parent or other caregiver that results in actual or potential harm to a child, and can occur in a child's home, or in the organizations, schools or communities the child interacts with.
Email address *
Name of submitter *
Your answer
Relationship between abuser and abused (ie coach/colleague/mentor/teacher etc.) *
Your answer
Name of abuser *
Your answer
Incident 1: Date abuse took place *
MM
/
DD
/
YYYY
Incident 1: Please check the relevant boxes concerning the setting of the incident *
Required
Incident 1: Did you observe the abuse happening, or were you the target of the abuse? *
Incident 1: Please describe the incident of abuse in as great detail as possible. Include how it made you feel. *
Your answer
A copy of your responses will be emailed to the address you provided.
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