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First Church Coral Springs
Welcome
ABOUT US
Who We Are
Our Team
What To Expect
FAQS
Contact Us
NEW HERE
What to Expect
New Member
Baptism
Small Groups & Bible Study
CONNECT
Preschool
Children
Youth (Students)
Baptism
Small Groups & Bible Studies
Prayer Request
Serve
Serve
Volunteer Forms
Bethlehem Revisited
GIVE
Subscribe
Preschool
Counseling Services
Child/Youth Protection Incident Report Form
Reason for report
*
Name
*
First Name
Last Name
Email
*
Date-of-incident
MM
DD
YYYY
Time
Place of incident
Name of reporter
Title
Name(s) of Child(ren)/Youth
Age(s)
Briefly describe what happened
Were there any witnesses?
Yes
No
If Yes, list
What action did you take?
Has the incident been resolved?
Yes
No
Explain
Have the following people been notified?
Pastor
Parent
SPRC Chairperson
District Superintendent
Bishop’s Office
Police
Sheriff
Other
Signature of reporter
Date
MM
DD
YYYY
Report submitted to
Thank you!
