JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Reporting Safeguarding Concerns
Please use this form to report to the school any safeguarding concerns that you may have.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
What is your name?
*
Your answer
Please choose from one of the following options
*
I am a student at Whitworth Community High School
I am a parent/carer of a student at Whitworth Community High School
I have no connection with Whitworth Community High School
In as much detail as possible, please explain your concern. This will help us to deal with your concern.
*
Your answer
What is the best way to contact you regarding your concern? If it is via email please leave your email address. If it is by telephone please leave your number.
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of whitworth.lancs.sch.uk.
Report Abuse
Forms
