There was an error trying to submit your form. Please try again. Safeguarding and Welfare Reporting If you have an immediate concern about an individual please contact Natasha Coates on 07967 293589. Alternatively, please call the NSPCC child protection helpline on 0800 800 5000. If you have an immediate concern about an individual please contact Natasha Coates on 07967 293589. Alternatively, please call the NSPCC child protection helpline on 0800 800 5000. Your Name: * This field is required. Your Email: * This field is required. Can you describe the concern you have? Please be specific and factual. * This field is required. Does the concern fall into any of these categories? Bullying Racism Sexual abuse or Harassment Sexism Religion/faith based issue Position of Trust Ableism Anti LGBTQ+ Poor Conduct (Peer or Adult) Other If "Other", please detail: This field is required. When did this incident take place? (Date and time) * This field is required. Name of person the concern relates to. This may relate to the welfare or behaviour of a young person or adult. If possible please provide as much specific information as possible such as name, DoB, address, contact details. If the person is an adult, please specify their role i.e. parent, coach, umpire, etc.. * This field is required. Does the person have specific needs such as mental health, disabilities or other vulnerabilities? Please do not give an opinion, but base this on factual information. This field is required. Did anyone else witness this? If yes, please provide full name and contact details if possible. This field is required. Describe any action taken, and by whom. This field is required. Confidentiality: If the person in under 18 years old, has the parent/carer been informed? If not, please give the reason. This field is required. Please verify that you are not a robot. Submit There was an error trying to submit your form. Please try again.