ࡱ> '` bjbj{P{P ڽ:: ]nnnn8$W.v #H#$-------$/h52-'r#v#@''-nn .B*B*B*'^n n8 -B*'-B*B*nB* pw8(B*+'.0W.B*2(2B*2B**$$B*%t%*$*$*$--)^*$*$*$W.''''nnnnnn SAFEGUARDING REFERRAL FORM Your Organisations name: LEEDS ADEL CARNEGIE HOCKEY CLUB Your name: Your position in organisation: Contact Tel Nos: Home: Mobile: Work: Address: Email: Young Persons name: Address: Date of Birth: Male or female? Parent / carers name: Does the young person have a disability ?: If so, please detail: Please tick the box to indicate the ethnicity of the young personTICK BOXTICK BOXWhite BritishAsian or Asian British PakistaniWhite IrishAsian or Asian British BangladeshiWhite OtherAsian or Asian British OtherMixed White and Black CaribbeanBlack or Black British CaribbeanMixed White and Black AfricanBlack or Black British AfricanMixed White and AsianBlack or Black British OtherMixed OtherChineseAsian or Asian British IndianOther Ethnic Group Name of the accused / adult whose behaviour you have concerns about: Position in sport i.e. coach, official: Address: Tel: Date of birth: Are you reporting your concerns or passing on those of somebody else? (Give details) Brief description of what has prompted these concerns: include dates, times, venue etc. of any specific incidents. Have you spoken to the young person (s) ? If so, please give details of what was said and when: Have you spoken to the parent / carer of the young person (s) involved? If so, please give details of what was said and when: Have you spoken to the person the allegations have been made against? If so, please give details of what was said and when: Relationship between the young person and the accused?: Action taken so far (please continue of a separate sheet if necessary): External agencies contacted:England Hockey yes/noName and contact number: Date and time: Details of advice received: Police yes/noIf yes which: Name and contact number: Date and time: Details of advice received:Childrens Social Care Dept (Social Services) yes/ noIf yes which: Name and contact number: Date and time: Details of advice received:Local authority yes/no If yes which: Name and contact number: Date and time: Details of advice received: Other (eg NSPCC) Which: Name and contact number: Details of advice received:Signature: Print name: Date:Remember to maintain confidentiality on a need to know basis only if it will protect the child. Do not discuss this incident with anyone other than those who need to know. 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