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Bullying Report
Please fill out this form. A board member will contact you and set up communication.
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Email
*
Your email
Name of the player or person being bullied (First and Last)
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Your answer
On what team or program does the player participate?
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Your answer
Who is the player or person doing the bullying?
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Your answer
Give a brief summary of what happened or is happening
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Your answer
When did it happen?
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Your answer
Where did it happen?
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Your answer
Was the person physically hurt? Please explain
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Your answer
Was there damage to personal property? Please explain
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Your answer
Is there a witness to this bullying we may contact?
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Your answer
Name of the person reporting the bullying (First and Last)
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Your answer
Relationship to the player
*
Your answer
Reporting Person's phone number
*
Your answer
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