Report a Safeguarding Concern

Report a Safeguarding Concern

Anything reported will be dealt with by our Safeguarding Team. We will properly record and report any abuse that we discover or suspect. If you have a concern or incident you wish to disclose to the Safeguarding Team, please complete the form below.
Name of person reporting the incident:*

First NameLast Name
What is your connection to Nene Valley Vineyard*
Your Contact Email Address*
example@example.com
Your Contact Phone Number*
Tell us Who or What your concern is about

Please provide as much detail as you can.
Child/Adult's Name (Their Name)*
Their Date of Birth (if known)

MonthDayYear
Date
Ministry Area/Group*
If 'Other', please specify:
Tell us about the concern or incident

Please give as much detail as you can at this time.
What is the concern or incident and why do you think it needs action*
Where did it take place?*
Who saw it and reported it?*
Date of Incident*

MonthDayYear
Date
Time of incident on selected date*

Hour Minutes

AM/PM Option
Please confirm:*

I confirm that the information I have included in this form is, to the best of my knowledge, accurate and I hereby give permission for Nene Valley Vineyard to make contact with me on the number provided if further clarification about this incident is required.
Privacy Policy (view at https://nenevalley.church/privacy-policy)*

I have read, understand and accept your data and privacy policy
Should be Empty:

Tell us Who or What your concern is about