Please complete this form for any safety issue or concern. Please indicate which school you attend and the administrators at that site will be emailed when your form is submitted.

You must include your name and school below, and any other information that will help us investigate the threat. You may also call 911 for immediate assistance.

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First Name: *

Last Name: *

What school do you attend? *

What grade are you in? *

* Required

Are you a student or a parent?

What happened? *

Incident type: *

Who else saw this happen?

When did this happen? *

Where did this happen? *

Upload any screenshots here.

Are you afraid for your safety? *