Record of Concern Form (new 2025)

Record of Concern Form

For reporting of concerns regarding children and young people. For any fields where information is missing, please type 'UNKNOWN'. This will be flagged as information we need to find out.
Your name

First NameLast Name
Your email address
legend@audioactive.org.uk
Date of session

DayMonthYear
Area session took place in / concern noticed
Other area name
Session
eg SHIFT, Beats & Bars, Production etc
Session name/type
Is the YP aware that you are logging this concern?
What is the reason you haven't informed the YP?

About the young person

If the YP has a Client ID (eg SHIFT, Room to Rant), copy/paste their client ID into the field below, then click anywhere outside the box.

If the ID matches one in the system, some of the remaining fields will auto-populate.
Client ID (if relevant)
8 digit number - copy/paste from the CRM, then click anywhere outside the box
Name of child/young person (YP)

First NameLast Name
YP birthdate
YP age
YP phone number (if known)
Please enter a valid phone number.Format: 00000-000000.
YP address

Street Address

Street Address Line 2

Town/CityCounty

Postcode
Name of school or facility (if relevant)
Parent/Carer name
Parent/carer phone number
Should start with 0Format: 00000-000000.
Parent/Carer email
example@example.com
YP gender
Names of siblings, if known to AudioActive

Record of Concern Form