Safeguarding Enquiry / Report Form

Please complete the following form with as much information as possible regarding any safeguarding concern or enquiry you have. We will respond within 48 hours of receiving this enquiry however, if your enquiry/concern requires immediate attention please call BWSW Safeguarding Lead. If you have any concerns on reporting this information on the form please also call but we can ensure that any information reported is deal with in a professional and confidential manner.

All fields are required unless otherwise stated.

Your Details

Please provide your details so we can contact you

First Name

Surname

Email Address

Contact telephone number

Optional.

Your role

Optional.

Persons Involved

Please complete this information for the individual concerned

Adult or child

Adult
Child

Optional.

Name of indivudual

Optional.

Name of club (if applicable)

Optional.

Qualifications held (if applicable)

Optional.

Role within the sport (if applicable)

Optional.

Incident/Enquiry

Please provide as much information as possible regarding your incident/enquiry

Is this a specific safeguarding concern/report or an enquiry?

Enquiry
Safeguarding Concern
Low Level Concern

Optional.

If a safeguarding concern - please provide the date of the incident

Optional.

Please provide as much detail as possible regarding your concern or enquiry

Optional.

If you have spoken to the person in which the safeguarding concern is about, please give details of what was said and when;

Optional.

If you have spoken to the parent/carer of the person involved (if applicable), please give details

Optional.

Please outline what action (if any), has been taken so far

Optional.

If you have any documents you wish to upload in reference to this form please do so here

Optional.

Verification

Click the box

Please click the box to indicate you are a human rather than an automated system completing this form.

Last step

Please ensure all information submitted is correct before completing the form.

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Safeguarding Enquiry / Report Form