ADA Safeguarding | Aimee'sDanceAcademy

Report A Safeguarding Concern/Disclosure

Name of person completing report

Name of student concern relates to if relevant.

Your Email

Your Phone

Date of report

Month

Day

Year

What are you reporting?

Safeguarding concern

A disclosure from student

Has the Designated Safeguarding Lead been informed?

Yes

No

If Yes you have you reported too?

What did you advise the DSL?

Please provide full details. Include date, time, what was said/observed. Please ensure as much detail is included in this report.

Was anyone else present or witness to the concern/disclosure? Please give details of these people.

Have any external agencies been contacted. If so please give details and advice given.