Safeguarding & Disclosure Form

Your Name/Tafkid:(Required)

Name of the young person who is the subject of this form(Required)

Machane/Sviva/Event(Required)

Year Group or Age of young person(Required)

Date(Required)

What was said/happened? Please include as much detail as possible, including times of events/conversations.(Required)

Who else has been informed?(Required)

What other action was taken?(Required)

Hannah or Sam have been informed(Required)

Yes