St. Mark's Church Complaint Form

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Full Name:

Phone Number/s:

Email Address

Event/Activity

Nature of Complaint (include time, date & location)

Details of any injury or abuse that occurred. Who was the first person notified of injury/abuse?

Details of anyone who may have witnessed the incident

What would you like to see happen now? What outcome do you hope for?

What action would you want St. Mark's Dalby to take?

St. Mark’s Lutheran Church gathers and stores the following information: names, addresses, phone numbers, email addresses. This information is stored only for the purpose of communication with and care for our church community. No personal details are given out to anyone not in this contact list. Details will not be published or made available anywhere else without prior consent. If you have any questions about our privacy policy or wish to be removed from the list, please contact St. Mark’s church office.

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