Fisler Bullying Report
If you have been bullied or know anyone being bullied at our school, please fill out this form to report the bullying incident.  
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Name of the person being bullied? *
Homeroom # of person being bullied? *
Name of person reporting the bullying incident? (Optional but helpful)
Your relationship to the person being bullied? *
Your homeroom # (Optional but helpful)
Where did the bullying incident take place? *
When did the bullying incident take place? *
Name of the person who is the bully. *
Homeroom # of the person who is the bully. *
Please describe the bullying incident and explain what happened in as much detail as you can. *
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