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Find my small group
Incident Report
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Leader Name
*
First
Last
Leader Email
*
Group Member Name
*
First
Last
Group Member Email
*
This can be found under your Omnify roster when you check people in.
Date / Time of Incident
*
Date
Time
How did you become aware of this situation?
*
Member shared in group
Member shared on group board
Member emailed &/or direct messaged me
Other (share in details)
Type of Incident
*
Possible endangerment of a group participant
Possible endangerment of a child(ren)
Other (share in details)
Details of Incident
*
Actions Taken By Group Leader
*
Follow Up Action Taken (If Any)
*
Other Pertinent Information
*
Please attach any screenshots:
Screenshot #1
Screenshot #2
Screenshot #3
Screenshot #4
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