Highlights Foundation Harassment Incident Reporting

Your Name (optional)

Description of Incident

Date/Time incident occurred

How can we contact you?

Witnesses
Are there others who witnessed this incident?

Call or Text: 570-470-7958 (Jo Lloyd) or 570-470-5404 (George Brown)

Send me a copy of my responses

Email address

Your submission is being processed. Please do not close this browser window until complete.