PART B WHERE THERE ARE concerns about THE CONDUCT OF AN ADULT Details of person about whom there is a concern Name: Relationship to Child: Address: Tel No: Postcode: Details of concerns: (date, time, location, nature of concern, who, what, where, when, why, continue on a separate sheet if necessary) Details of any action taken Details of other persons/agencies contacted: (including date, time, name of person contacted and advice received) 10. Have the child’s parents/carers informed? YES/NO If yes, record details / If no please state why not: Part C YOUR CONTACT INFORMATION – 11. Details of Person Recording Concerns Name: Position/Role: Address: Tel No: Postcode: DISCIPLINARY PROCEDURES
PART B WHERE THERE ARE concerns about THE CONDUCT OF AN ADULT Details of person about whom there is a concern Name: Relationship to Child: Address: Postcode: Tel No: Details of concerns: (date, time, location, nature of concern, who, what, where, when, why, continue on a separate sheet if necessary) Details of any action taken Details of other persons/agencies contacted: (including date, time, name of person contacted and advice received) 10. Have the child’s parents/carers informed? YES/NO If yes, record details / If no please state why not: Part C – YOUR CONTACT INFORMATION 11. Details of Person Recording Concerns Name: Position/Role: Address: Postcode: Tel No: DISCIPLINARY PROCEDURES
SAFEGUARDING-RESOURCE-FOR-CLUBS-12.8.2018.docx