Athlete Welfare Concern Form
Use this form to report athlete welfare concerns, describe what happened, and share any supporting details or evidence.
Athlete Details
Athlete's Full Name
*
First Name
Middle Name
Last Name
Team / Club / Organization Name
*
Role or Relationship to the Athlete
*
Please Select
Athlete
Coach
Parent/Guardian
Teammate
Staff Member
Other
Concern Details
Date the concern occurred or was noticed
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Location or setting
*
Please Select
Training facility
Competition venue
Locker room
Travel/transport
Online communication
Accommodation
Other
Type of concern
*
Bullying
Emotional distress
Unsafe training conditions
Inappropriate conduct
Neglect of supervision
Conflict
Other
Detailed description of what happened
*
Is the concern ongoing?
*
Yes
No
Is there any immediate safety risk right now?
*
Yes
No
Supporting Information
Names of involved people or witnesses
Upload supporting files or evidence
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