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St. Jude Church & School Safety Report

Please Note: If you choose to submit your name, email, and/or phone number, this report will be sent as a receipt for your records. If you submit this report anonymously you do so with the understanding that you forfeit any entitlement to a direct response, acknowledgment, or the ability to be contacted for further information. Anonymous reports will be reviewed, but may require some form of corroboration or independent verification for action to proceed.
Please let us know your name.

Email Address
Please let us know your email address.

Contact Phone
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Enter as 123-456-7890

Date Safety Incident Observed/Reported
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Time Incident Observed/Reported
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Potential Witnesses
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Location (Describe As Specifically As Possible)
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Concern Or Observation
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Just checking!
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