Incident Reporting Form
Arbutus Folk School
What kind of submission do you wish to make?
*
I would like to make an anonymous submission. I understand that I will not be contacted for further information or follow-up.
I would like to make a submission that includes my name and contact information. I understand that I will be contacted for further information or follow-up.
Name
First Name
Last Name
How do you wish to be contacted?
Email
Phone Call
Email
Phone Number
Describe incident and circumstances, including as much detail as possible.
*
Details may include timeline or dates, names of people involved, Arbutus Folk School staff present, names of witnesses present, location where incident/concern occurred, and a description of statements or actions.
Submit
Should be Empty: