Incident Report

Please use this form to report an incident involving a minor. The incident may have occurred in the church building or during a church event.
If you have any questions about filling out this form, please contact our Safety Coordinator, Sonia Keillor (sonia@oftheredeemer.org).
Injuries that occur during child or youth ministry activities should be reported to the Safety Coordinator. Please use this form to report such an incident. Any unusual or out-of-character behavior displayed by minors should also be reported.
DESCRIPTION OF INCIDENT
 
 
 
 
 
 
 
 
 
 
 
 
 
 
RESPONSE TO INCIDENT
 
 
 
 
Please select one option.
 
 
 
 
 
 
 
 
 
 
 
PERSON COMPLETING THIS FORM
 
 
 
 
 
Once you hit submit, the church's Safety Coordinator will receive an email with the details of this incident report. You might be contacted for additional information.

Please be in touch with the Safety Coordinator, or the Rector, if you have questions or would like more information before or after submitting this incident report.

Thank you.

Description

Please use this form to report an incident involving a minor. The incident may have occurred in the church building or during a church event.
If you have any questions about filling out this form, please contact our Safety Coordinator, Sonia Keillor (sonia@oftheredeemer.org).