Club Safeguarding Report Form and Statement
Club Safeguarding Report Form and Statement: This form should be used to record safeguarding concerns relating to children and/or vulnerable persons and should be completed at the time or immediately following a disclosure, however, all actions to contact the emergency safeguarding teams have been taken. All the information must be treated in confidence and reported to the Designated Safeguarding Officer within one working day In an emergency please do not delay in informing the police or social services Please complete the form as fully as possible
1. Your Details – The person completing and reporting the incident
2. Name of Person(s) of concern:
3. Details of the Incident: Include as much detail of the issue / incident as possible.
Invalid Input
5. Additional Information
Invalid Input
Image
Here you can add an image.
File formats: .jpg ONLY. Maximum file upload size 500KB
6. Declaration
By signing this declaration, you have agreed that you have completed the form and
provided information must be accurate and factual.
Please ensure that the information provided is a accurate account and must be your own
account
Our Privacy & Data Protection Policy can be read here
Items marked with an * are required.
Once form completed click on 'Submit Form' below.
You will receive an automated email confirming your submission
Thank You
Brackley Town FC
