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Report a concern form
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9
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1
Name
Please provide us with your full name.
First Name
Last Name
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2
What is your connection to Manston St James?
I am a student
I am a parent
Other
I am a student
I am a parent
Other
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3
Please state your connection to Manston St James
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4
Child's Name:
First Name
Last Name
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5
What year group are you in?
Reception
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
Reception
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
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6
Phone Number
Area Code
Phone Number
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7
What type of concern do you have:
Bullying
Cyberbullying
Online Safety
Safeguarding
Wellbeing
General Concern
Bullying
Cyberbullying
Online Safety
Safeguarding
Wellbeing
General Concern
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8
Worry/Concern Details:
Please enter the concern you have (be aware, the exact text your enter will be forwarded to the school)
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9
Please verify that you are human
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This field is required.
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