Badminton Australia Child Safety Reporting Form

Please use this form to report a Child Safety.

If you require assistance or would like to talk to a trained professional about the issues you are worried about, please call Kids Helpline on 1800 55 1800 or Lifeline on 13 11 14.

If you believe a child is in immediate danger please call Police on 000

Who is this about? *

Me Someone I know

I am ?

12 years of age or under 17 years of age or under Over 18

What is the name of the person you are worried about?

First Name Last Name

What is worrying you?

What is your name ?

First Name Last Name

If you have a phone - what is your number?

If you have email - what is your email address?

If you believe a child is in immediate danger please call Police on 000.

What is the name of the child or young person you are concerned about? *

First Name Last Name

How old is the child / young person? If you know their date of birth please include this on the form *

What is the gender of the child/young person?

Female Male Not sure

Is the harm happening as part of a badminton club or somewhere else?

Part of a Badminton Club Somewhere else Not sure

What State is the person you are concerned about in? *

What is the name of the child or young person you are concerned about?

First Name Last Name

Do you know the name of the child's parents?

First Name Last Name

Do you know and details of the person you suspect of causing the harm - please provide their name and location?

What are you concerned about - please provide as much detail as you can?

Your Contact Details

Please provide the information you are comfortable with providing.

What is your name (optional)

First Name Last Name

What is your contact phone number (optional)

What is your contact email address (optional)

Can Badminton Australia contact you about the information you have provided?

Yes Yes - but I want to remain anonymous

Is there any other information you would like to add

Thank you for taking the time to fill out this form. All reports regarding child protection are treated in strictest confidence and taken very seriously.