Safeguarding Reporting Form
Please complete the following sections with as much detail about the specific safeguarding concern you have to help us appropriately manage the concerns. A member of the appropriate national safeguarding team will then contact you on the details provided as soon as possible after receiving the completed form; our aim is to respond to all concerns within 5 working days. Please note that should an individual be in immediate danger, or a criminal offence has been committed, please contact the police immediately on 999. To keep children and adults safe, information may need to be shared with appropriate agencies. However, confidentiality will be maintained where appropriate and to ensure that only those who need the information are made aware of it. If you have any queries or need to speak to an individual, please contact the appropriate safeguarding team on:

Welsh Gymnastics: 02920 334978

Person reporting the safeguarding concern.
Person reporting the safeguarding concern.
Person reporting the safeguarding concern.
Person reporting the safeguarding concern.
Persons Involved
Person who concerns are for
Subject of Concern
Person whose behaviours you are worried about
Are you aware of any local authority /police involvement in this case? If yes, please provide details
Details of Concern
Include all the relevant information, such as detailed description of your concerns and reasons for these. Please describe any injuries or actions causing concern and whether you are recording these as fact, opinion or hearsay.
Please provide details of any one who has shared your concerns or witnessed any incident: Name, Position within the sport or relationship to the individual concerned, DOB, Address, Postcode, Telephone Number, Email Address
Do you have any relationship with anyone involved in this case which could cause a conflict of interest in any investigations? If yes, please describe your relationship

The information you have provided on this form will be used for the purposes of recording your concern. The legal basis for processing this information shall be legitimate interest. The information you provide will be used and stored in accordance with the home nation privacy policy, available on the website below:

Welsh Gymnastics Privacy Policy