NATIVITY CHURCH
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Nativity Incident Form
*
Indicates required field
Time of incident
*
Date
*
Name of the person filling in this form
*
First
Last
Email
*
Did this incident occur at a Nativity church event or on Nativity property?
*
Yes
No
Incident discription
*
The general nature of damage/injury
*
Physical
Emotional/mental
Property
please check one or more
Please list any important names and contact details related to the incident here
*
Follow up actions (what was done in response e.g. first aid applied, ambulance called, family contacted, vicar contacted etc)
*
Is there anything that could be done to avoid this happening in future?
*
This inccident has been reported to:
*
Police
Ambulance
The vicar
The wardens
Fire Department
The family/whanau
Social agency
Nativity staff, using this form
Other
If other please discribe
*
Signature
*
(by typing your name in the box above you agree that this is a true and accurate record of events)
Date
*
Once you submit this form Nativity staff will seek to be in contact promptly to follow up about the incident. Thank you.
Submit
Home
About
Faith
What We Believe
History
Meet Our Team
Service Times 2022
Calendar
Ministries
>
Children and Youth
>
Preschool
>
First Steps
Tunes 4 Tots
Primary
Intermediates
Youth
Families
Small Groups (Care Cells)
Women
Men
Senior Adults
>
Care
Prayer
Missions
Our Governance
>
Vestry FAQS
Diocesan Synod
Contact Us
How We Help
Repair Cafe
Healing Horticulture
Baptisms
Weddings
The Marriage Course
>
FAQ - Marriage course
Funerals
Counselling
>
Bereavement Care
Personal Counselling
Facilities Hire
Blue Door
Giving
Serving
Financial
Sermons
News
News and Events
Prayer Wall
Building Project
Vicar's News
Bishop's Apology
Health & Safety