See it, Hear it, Report it - Safeguarding

Details of the person you are reporting

This is the person you are referring to the West Riding FA. Please provide as much detail as you can.

Full Name

Gender

Select

What is their role in the game?

If they occupy multiple roles, please check the relevant boxes.

Coach/Manager

Player

Parent/Carer

Spectator

Helper

Club/League Official

Referee

I don't know

What organisation is this person connected with?

Please provide the name of the organisation (club/league/competition) and the relevant age group

Your details

We will use this information to contact you to clarify the information you have provided. This information will not be disclosed at any time without your express permission.

Full Name

Email Address

Contact Tel

Your predominant role in grassroots football*

Select

Poor Practice Concern

In this section we need you to provide as much detail as possible regarding the alleged poor practice behavior.

Have you personally witnessed the poor practice?*

Select

How would you categorise the poor practice*

Select

Your report*

Please provide as much detail as possible to describe the Poor Practice you are reporting.

Have you made a referral to any other body?

FA Police Local Authority Designated Officer (LADO) Children's/ Social Services

File Attachments

Please use this section to upload any documents you wish to share (images, print screens, documents)

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Send me a copy of my responses

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