BULLYING REPORT FORM
Striving for Anti-Bullying!
 
If you feel unsafe or know someone who feels unsafe report it here.
You don't have to tell us your name, we just want to make sure you stay safe!
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Have you reported
this to an adult? *
Did you report this to a
teacher, counselor or other
school staff member
before filling out this form? *
Once you submit this report we will investigate this further and contact you if you have provided an email or phone number.
Thank you for taking time to share this important information as this helps us establish an anti-bullying environment for everyone.

IP
Anonymous submissions are welcome.
Inappropriate submissions will be investigated.
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