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I think my school should know...

Remember the Bystander Power -- see something, say something! Help a friend or classmate and report any bullying you see.

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Enter contact information for the person filling out this form. You may remain anonymous if you wish.

First Name

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Last Name

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What school do you (or does your child) attend?*

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What grade are you (or is your child) in?*

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Please describe the incident you are concerned about and would like a staff member to address. Remember to be as specific and detailed as possible and include names.*

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Provide an approximate date of when incident occurred.*

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