Speak up!
Hi there. Everyone has the right to feel safe, respected, and happy here. If someone or something has upset you, made you feel uncomfortable, or treated you unfairly, please use this form to let us know. What you tell us will be kept private and taken seriously. You can fill this out on your own, or with the help of a friend, parent, or staff member and you can skip any questions you don't want to answer. Once you hit submit, a member of our team will receive this and if you have asked us to contact you they will reach out to you or your parent in the next couple of days to talk about how we can fix this together.
Name
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Age group:
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Under 12
12-17
18+
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Best contact email or phone
You can give us your parent's email, or skip anything you don’t want to share
What would you like to report?
Please Select
Something unsafe
Someone being treated unfairly
Bullying or harassment
Damage or broken equipment
Poor sideline behaviour
You can skip anything you don’t want to share
Is anyone in immediate danger?
Please Select
Yes
No
Unsure
It might be best to find an adult to help you straight away, or call emergency services - 000.
Where and when did it happen?
Tell us what happened
Use your own words - short or long is okay
Have you told anyone else?
Please Select
Yes
No
Not yet
Who did you tell?
What would you like to happen?
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I just want this recorded
I would like someone to look into it
I would like to be contacted
I would like help fixing the problem
Other
What would you like to happen?
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Upload here if you have something you'd like to share
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Is there anything else you want us to know?
If you'd like to talk to someone about this please call, text or email:
Sam Heath | 0417 419 837 | sam.heath@qldtouch.com.au
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