Cart
0
Get Involved
Go Deeper
Safety
Prayer
Give
About
Contact
Back
Get Connected
Sunday Mornings
Prayer Room
Kids
Youth
Young Adults
Workshops
Back
Volunteer
Partner
Back
Statement of Faith
Vision & Values
Team
Cart
0
Get Involved
Get Connected
Sunday Mornings
Prayer Room
Kids
Youth
Young Adults
Workshops
Go Deeper
Volunteer
Partner
Safety
Prayer
Give
About
Statement of Faith
Vision & Values
Team
Contact
Safe Church Concerns Report
Your Name
*
First Name
Last Name
Your Contact Phone Number
*
Email
Name of Additional Witness
*
First Name
Last Name
Additional Witness Contact Number
*
Who is the Team Leader you notified?
*
First Name
Last Name
Date and Time of Incident / Concern
*
Ministry Area of Concern
*
Kids Rock
Spark
Mainly Music
Force Youth
Young Adults
Blossom
Sunday Service
Life Groups
Youth Camp
Town Dinners
School Ministries
If other, please list Ministry Area of concern below:
Name of person report is concerning
*
Age of person report is concerning
*
If you do not know their age, please include an approximate.
Describe your Concerns or Incident - what was observed, what was said and what action was taken?
*
It is important to provide as much information as possible, basing your information on facts and observations, without making assumptions, jumping to conclusions or personal opinion.
Where any photos/videos of the incident taken?
*
If yes, please text them to The Rock on 0428 827 874.
Yes
No
Was First Aid required, if so what actions were taken?
Are there any First Aid materials that need replacing?
Thank you!
