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SafeSport Online Reporting

Name: Erg and Core Classes
Start: 2022-12-29T18:15:00-06:00
End: 2022-12-29T19:30:00-06:00

RIVERSPORT is committed to provide a safe environment for everyone. All information you provide will help the Foundation respond to allegations of sexual abuse, bullying, or other threatening behavior. You may report ANONYMOUSLY if you prefer.

Your Name

First

Last
Your Sport or Department
Your Phone
Your Email
INCIDENT REPORT
Did the incident occur over multiple days?

Yes, date range?

No, date of incident?
Names and Roles of those involved. Roles can include Claimant (Victim); Respondent (Accused); Unknown; Witness.
Description of incident using specific and objective language (who, what, when, where, why and how)
QUESTIONS
If you are an adult (an individual over the age of 18), you are also required to report all instances of possible child abuse and/or neglect to appropriate law enforcement. Does this case involve possible child abuse and/or neglect?
- Yes
- No
If you answered "yes" to the question above, have you reported to appropriate law enforcement authorities?
- Yes. Please provide any details you may have about that report in the incident description box above, including name of the agency to which the incident was reported, date of the report, case or reference number, contact person and any other related information.
- No. Please file a report immediately.
Thank you. If you provided contact information, you can expect a representative from the Foundation to contact you within 24 hours of receipt of this form. If you would like immediate assistance, please contact Jon Shaw at 405-473-0598.
CAPTCHA

SafeSport Online Reporting

INCIDENT REPORT

QUESTIONS