Reporting a Safeguarding Concern

Your Name(Required)

First Last

Your Email Address(Required)

Enter Email Confirm Email

Date of concern(Required)

Date of writing this report(Required)

Name of the person you are concerned about (if known)(Required)

Date of Birth of the person you are concerned about (if known)

Address of the person you are concerned about (if known)

Has the person given consent for you to share information outside of Geese Theatre Company?(Required)

Yes

Not asked

If a young person, does the parent / carer know about the concern?(Required)

Yes

Not sure

Not applicable

Is the person you are concerned about involved in a Geese Theatre Company project?(Required)

Yes

Please provide the name of the Geese Theatre Company project they are involved in.

Please provide a brief overview of the concern.(Required)

Record factually: What you were worried about? Who was involved? What happened? Where did it take place? When? Were there any witnesses?

Please provide any background to the concern you are aware of.(Required)

Is there anything you have observed or know about the situation that might help in understanding the concerns?

What is the impact on you? Do you need any additional support?(Required)

What action, if any, has already been taken?(Required)

Include names of anyone involved or helped, including emergency services or other organisations.