Safe2Talk

Safe2Talk

When filling out the Safe2Talk form, please provide as much detail as possible about the incident, including names of individuals involved and any witnesses. Ensure all sections are completed accurately to assist in a thorough investigation. Your prompt and detailed reporting helps us maintain a safe and respectful environment for all swimmers.
Person Reporting*

First NameLast Name
Person Reporting E-mail*
example@example.com
Person Reporting Phone Number*
Please enter a valid phone number.
Are you:*

The person reporting the incidentA witness to the incident
Subject of Report: (Please provide the first and last name of the individual(s) you are reporting about and their relationship to the team, e.g., swimmer, coach, staff, etc.)*
Date of Incident*

MonthDayYear
Date
Time of Incident*
Location of Incident*
Type of Incident (Check all that apply)*

Peer to Peer BullyingAdult to Athlete BullyingParent IssuesViolations of team rules and team code of conductOther
Description of Incident: (Please provide a detailed account of what happened. Include the names of individuals involved, witnesses, and any relevant context.)*
Action Taken (if any): (For instance, if you intervened to stop the behavior, informed a coach or staff member immediately, or provided support to the affected individual.)*
Additional Comments (For instance, if you have further details, concerns, or suggestions regarding the incident or future preventive measures.)
1. By signing and submitting this form, you acknowledge that the information provided will be shared with Coach Alana and may also be reviewed by an unbiased third party, such as another member of the Helena Dolphins Swim Team Management, to ensure a fair and thorough investigation. All details will be handled with confidentiality and used solely for the purpose of addressing the reported incident.

2. When signing and submitting the name of the person(s) reporting the incident will remain confidential. After the initial review of the report, if it is necessary to share your name for further investigation, we will contact you via e-mail to obtain your permission.

3. By signing and submitting this form, you affirm that all information provided in this report is true and accurate to the best of your knowledge.
Reporter Signature

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