Bullying Incident Report
The LC Bully Site is not monitored during non-school hours. Please contact the police in an emergency.

Please answer the following questions.

Date *
MM
/
DD
/
YYYY
Name of the Aggressor *
Your answer
Name of the Target *
Your answer
When did the bullying start? *
Your answer
Form of Bullying *
Brief Description of the Situation
Your answer
Your Contact Information - Optional
Your answer
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