The Oak Church - Safeguarding Disclosure Form

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The Oak Church - Safeguarding Disclosure Form

This form should be completed where there is a cause for concern as accurately, factually and clearly as possible.

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* Indicates required question

Date of disclosure *

MM

/

DD

/

YYYY

Person filling in this form *

Your answer

Email address or contact telephone number *

Your answer

Adults involved *

Your answer

Children involved *

Your answer

Background (if known)

Your answer

Disclosure (including dates and as much detail as can be included) *

Your answer

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