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Complaint Form for Children and Young People

If something makes you feel unsafe or uncomfortable, you can tell us here. Remember, you are brave for speaking up, and we want to make sure everyone is happy and safe when they come to our program.

Please fill out this form and let us know what happened.

Your Details
What Happened?

Include when and were it happened and who was involved.

How did it make you feel?

Angry

Sad

Scared

Confused

Other...

If so, who? (optional)
Thank you for telling us. We may need to contact you about what you've told us. How can we contact you?
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