Child Safeguarding Form

To submit an incident, please fill out the form below and then click submit. You will be directed to a confirmation page with a summary of your submission.

Initial Information

Event^*

At what stage this happen?

Location^*

Section^*

Additional Location/Section Information

Was a child involved?^*

Safeguarding Information

Who was involved?^*

Type of incident?

Tell us more about the incident/issue^*

Please list any actions taken by you (if any) or any other person who witnessed the incident

Have you reported this incident/issue to anyone else (eg Police, child protection, etc)?^*

Your Details

Can we contact you to discuss further? Please add your name and contact details^*

Yes No

First Name^*

Last Name^*

Phone Number^*

Email Address^*

Privacy Policy

By submitting this form, you agree to the MCC’s Privacy Policy - https://mcc.org.au/privacy^*

I agree