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Byron High School

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Conflict Report

Please complete the form below. Required fields marked *

This form is to be completed by the bullying target, witness, or person with information about an

incident of bullying or school violence. It will be electronically submitted to the building principal

and assistant principal. Items marked with an astrick are required.

Reporter (your) are a:*
Are you the target of the bullying or school violence that you are reporting?*
Was the incident based on any of these characteristics? *
(check all that apply)
Student(s) were targeted for bullying in the following way(s):*
(check all that apply)
Student(s) were targeted for bullying in the following place(s):*
(check all that apply)
Confirmation Email