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Please report any incidents whether in school or out of school that you are concerned about for yourself or others.
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Email *
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What grade are you in? *
My problem is with... *
Date of incident (if applicable)
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Where were you when the incident/s occurred? Select all that apply. *
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What happened? Please explain in detail (who's involved? Witnesses? Etc.) *
How would you like to be contacted initially? You may select more than one if applicable. *
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