See Something, Say Something: Reporting Suspected Child Abuse or Concerning Behavior
Date/Time of Occurrence
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-
Month
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Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
YMCA Branch/Off-site Location
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Please Select
Ashland Area YMCA
Ashland City Schools
Boyd County Schools
If this occurred at an Afterschool Site in a school, please list the school below.
Where in the YMCA or school did this occur?
Type of Concern (select all the apply)
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Inappropriate behavior by employees/volunteers
Inappropriate behavior by a child/teen
Retaliation
Other
Describe what you observed: What happened, where it happened, when it happened, who was involved, who was present, who was notified?
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Would you like a YMCA staff member to follow up with you?
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Yes
No
Submit
Should be Empty: