Fusion Incident Report
This Fusion form is to be filled out in the instance when there is a situation involving a Fusion student, fellow leader, or youth pastor that needs to be documented in any capacity. Please fill this out when the Youth Pastor prompts you to and complete with any and all necessary details and with utmost honesty and discretion. Thank you!
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Email *
Name *
Today's Date
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Date of the Incident *
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Who are the persons involved in this incident? Where and when did this incident occur? *
Please summarize the incident with any and all necessary details. *
Who all is aware of this incident (or was there anyone else involved)? [Include names and numbers, if possible.] *
Was anyone injured? If so, who? What were their injuries?
Describe any actions already taken as a result of the incident (medical, parental, police involvement, etc.). *
A copy of your responses will be emailed to the address you provided.
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