If you are worried about feeling safe in school, an incident(s) of bullying or other behaviour towards you/others, please use this form to report it to us in school. The information you report will only be shared with other relevant people if we are worried that your or their safety is at risk.

We won’t ever take any action linked to other students you have named without talking to you first, unless we have an immediate concern for your or their safety.

1. Your concern is about:(Required)
Enter full name and year group (if possible) This can be yourself or another individual
Please include, dates/times, names, locations and any other relevant details.
If 'YES' please enter your: organisation name, contact name and contact telephone number.
6. A staff member will discuss this with you soon. Are you happy to discuss this confidentially during the school day?(Required)
This field is for validation purposes and should be left unchanged.