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Anonymous Report
Fields are not required, but please provide as much information as possible to resolve the issue.
Your First Name:
Your Last Name:
Enter Your E-mail:
 
Best Phone Number to Contact You:
Address, City, State, Zip Code:
School:
What kind of Category are you reporting?









Other:
What role did you play in the selected Category?




Other:
Victims (please include as much of or any part of the name that you know):
 (separate with commas) 
Bullies (please include as much of or any part of the name that you know):
 (separate with commas) 
On a scale of 1 to 10, select the number you feel best describes how prudent the category is. (1= not so bad, 10 = Immediately)
In the space below, please provide a detailed statement about the selected catergory. Please include all the names of parties involved, location of the incident, dates and times. Please be specific and provide as much information as possible:
 

  
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