Cause for Concern

Contact the Youth Zone directly
or in an emergency contact the Police on 999

Young person
Details

For example:
  • Any physical, behavioural or other indicators e.g. bruises, behaviour changes, periods of absence
  • Any information relating to the young person's home life e.g. substance abuse, domestic violence, mental health issues
Please provide the names of anyone else involved and their role in the incident/concern e.g. staff, volunteer, young person, sibling.
Other information

e.g. spoken to Youth Zone staff, informed parents, school, police or other agencies

e.g. preferred name of the young person, people who should not be contacted, next steps (if known)
Submitted by
Your personal information will be used to respond to your enquiry and administer the service.

Where there is a need to protect or support a young person, we may also share personal information with relevant agencies as required by law.

For further information about how we process your personal information, who we may share it with, and your rights, please read our Privacy Policy
Your personal information will be used to respond to your enquiry and administer the service.

Where there is a need to protect or support a young person, we may also share personal information with relevant agencies as required by law.

For further information about how we process your personal information, who we may share it with, and your rights, please read our Privacy Policy
Your personal information will be used to respond to your enquiry and administer the service.

Where there is a need to protect or support a young person, we may also share personal information with relevant agencies as required by law.

For further information about how we process your personal information, who we may share it with, and your rights, please read our Privacy Policy
Your personal information will be used to respond to your enquiry and administer the service.

Where there is a need to protect or support a young person, we may also share personal information with relevant agencies as required by law.

For further information about how we process your personal information, who we may share it with, and your rights, please read our Privacy Policy
Your personal information will be used to respond to your enquiry and administer the service.

Where there is a need to protect or support a young person, we may also share personal information with relevant agencies as required by law.

For further information about how we process your personal information, who we may share it with, and your rights, please read our Privacy Policy
Your personal information will be used to respond to your enquiry and administer the service.

Where there is a need to protect or support a young person, we may also share personal information with relevant agencies as required by law.

For further information about how we process your personal information, who we may share it with, and your rights, please read our Privacy Policy
Your personal information will be used to respond to your enquiry and administer the service.

Where there is a need to protect or support a young person, we may also share personal information with relevant agencies as required by law.

For further information about how we process your personal information, who we may share it with, and your rights, please read our Privacy Policy
Your personal information will be used to respond to your enquiry and administer the service.

Where there is a need to protect or support a young person, we may also share personal information with relevant agencies as required by law.

For further information about how we process your personal information, who we may share it with, and your rights, please read our Privacy Policy
Your personal information will be used to respond to your enquiry and administer the service.

Where there is a need to protect or support a young person, we may also share personal information with relevant agencies as required by law.

For further information about how we process your personal information, who we may share it with, and your rights, please read our Privacy Policy
Your personal information will be used to respond to your enquiry and administer the service.

Where there is a need to protect or support a young person, we may also share personal information with relevant agencies as required by law.

For further information about how we process your personal information, who we may share it with, and your rights, please read our Privacy Policy
Your personal information will be used to respond to your enquiry and administer the service.

Where there is a need to protect or support a young person, we may also share personal information with relevant agencies as required by law.

For further information about how we process your personal information, who we may share it with, and your rights, please read our Privacy Policy
Your personal information will be used to respond to your enquiry and administer the service.

Where there is a need to protect or support a young person, we may also share personal information with relevant agencies as required by law.

For further information about how we process your personal information, who we may share it with, and your rights, please read our Privacy Policy
Your personal information will be used to respond to your enquiry and administer the service.

Where there is a need to protect or support a young person, we may also share personal information with relevant agencies as required by law.

For further information about how we process your personal information, who we may share it with, and your rights, please read our Privacy Policy
Your personal information will be used to respond to your enquiry and administer the service.

Where there is a need to protect or support a young person, we may also share personal information with relevant agencies as required by law.

For further information about how we process your personal information, who we may share it with, and your rights, please read our Privacy Policy
Your personal information will be used to respond to your enquiry and administer the service.

Where there is a need to protect or support a young person, we may also share personal information with relevant agencies as required by law.

For further information about how we process your personal information, who we may share it with, and your rights, please read our Privacy Policy