Safeguarding Children & Vulnerable Adults

Safeguarding Children & Vulnerable Adults
If the concern is regarding safeguarding within one of our leisure centres, activities or advice needed from a sports club, please complete this form.
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (00000) 0000000.
Date

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Hour MinutesAM/PM Option
Where did this take place
Exact location of incident
Description of incident
Any supporting evidence to upload (ie images)

Cancelof
Name of person(s) involved, if known
Description of person(s) involved
Name(s) of witnesses
Have you reported this to the staff on site
What is the name of the staff member
Have you reported to the Police
If so, can you provide the incident number
Please verify that you are human
Should be Empty: