British Rowing Report form for recording Safeguarding Concerns

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Please complete as much information as you can. If you are unsure on the reporting process at British Rowing, or would like assistance with the process, please contact your Club Welfare Officer.

For further guidance on reporting concerns, please see Section 1 of the British Rowing Welfare Guidance Documents

Email *

Alleged individual details

This section is for the person you are referring to British Rowing

Individual Name *

Date of Birth

YYYY

Gender *

Male

Female

Other:

Relationship to victim(s) *

Role in Rowing *

Club(s) of the alleged individual(s) *

Referrer's details

This section is for you to enter your details. If you wish to remain anonymous, then leave this section blank. However, please do be aware that we are far more capable of reaching a solution if the individual leaving the referral is open to communication between themselves and British Rowing. British Rowing will take every necessary step to ensure the confidentiality of the referrer.

Referrer's Name

Date of Birth

YYYY

Gender

Male

Female

Other:

Clear selection

Relationship to victim(s)

Role in Rowing

Name of your Club

Child/Children or Adult at risk's details

Please complete as much of this section as you can, ensuring that you are as detailed as possible. The more information you provide, the more equipped we are to help.

Details of alleged victim/s (Please include name, age, gender, club, parent/carer details (if known) and any other relevant details about the alleged victim/s *

Have you spoken to the child/children or adult at risk? If yes, please describe what has been said. *

Have you spoken to the parent(s)/carer(s) of the child/children or adult at risk? If yes, please describe what has been said. *

Details of Concerns

As above, please be as detailed as possible during this section.

Type of Abuse *

Sexual Abuse

Physical Abuse

Emotional Abuse

Neglect

Bullying

If other, please describe below

Other:

Incident/s details: (Please summarise the incident, including details of any other relevant parties. Please try to clearly identify a list of your safeguarding concern/s) *

In your opinion, does this referral relate to; *

High-level poor practice

Possible or actual risk of harm to a child(s) or adult at risk(s)

Other:

Action taken: (Please specify if you have referred this to a statutory agency, your Club Welfare Officer, children's services, or another external service) *

Finally, please include any further information which you feel is relevant that you have not yet had a chance to provide to us.

Thank you for reporting your concern. By reporting concerns, no matter how small you may feel they are, you are actively helping British Rowing in keeping rowing a safe and enjoyable experience for all.

This form has been sent to British Rowing's Lead Safeguarding Officer, who will endeavour to respond as soon as possible.

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