{"id":30246,"date":"2026-05-18T18:51:58","date_gmt":"2026-05-18T18:51:58","guid":{"rendered":"https:\/\/tynemouthsc.co.uk\/?page_id=30246"},"modified":"2026-05-18T19:40:13","modified_gmt":"2026-05-18T19:40:13","slug":"young-person-referral-form","status":"publish","type":"page","link":"https:\/\/tynemouthsc.co.uk\/index.php\/home\/worried-safeguarding-and-welfare\/young-person-referral-form\/","title":{"rendered":"Welfare and safeguarding referral form for young people"},"content":{"rendered":"\n<h4 class=\"wp-block-heading\">About this form<\/h4>\n\n\n\n<p>The water belongs to everyone and everyone deserves to experience the joy and excitement it offers. We want you to enjoy being on the water but we understand this might be difficult if someone is making you feel unhappy, worried or scared. If this sounds like you, don\u2019t keep it to yourself.<\/p>\n\n\n\n<p>You can complete this form if something is worrying you, or you\u2019ve seen or heard something that doesn\u2019t feel right while on and around the water.<\/p>\n\n\n\n<p>It might be something that has happened to you, to a friend, or something you\u2019re just not sure about.<\/p>\n\n\n\n<p>If you make a report to us, we will contact you as soon as we can, and we will do everything we can to make sure you\u2019re safe.<\/p>\n\n\n\n<p>Please fill in as much as you can. You don\u2019t have to fill in everything, just share what you can. Anything you tell us will be taken seriously and we\u2019ll do our best to help you.<\/p>\n\n\n\n<p>Other people you could tell:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>An adult you trust<\/strong>. This could be your\u202fparent or someone else in your family, or; another adult at the club<\/li>\n\n\n\n<li><strong>RYA Safe Sport Team<\/strong>. If you want to speak with someone at the RYA call the Safe Sport team on 02380 012796 between 9am and 5pm, Monday to Friday. In an emergency call 02380 012796 between 9am and 10pm, 7 days a week including bank holidays.<\/li>\n<\/ul>\n\n\n\n<p><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-accent-color\">Emergency Support<\/mark><\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Police \u2013 If you are in immediate danger please call the police \u2013 999.<\/strong><\/li>\n\n\n\n<li><strong>Childline \u2013\u00a0<a href=\"https:\/\/www.childline.co.uk\/\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.childline.co.uk<\/a>\u00a0or 0800 1111<\/strong><\/li>\n\n\n\n<li><strong>The NSPCC (<a href=\"mailto:help@nspcc.org.uk\">help@nspcc.org.uk<\/a>) are available 24\/7 for help, advice and support: 0808 800 5000<\/strong><\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Tell us about your concern<\/h4>\n\n\n\n<p>We know that this is difficult but well done for getting this far. If something has happened, or you feel that you are in danger and need help straight away, please call the police on 999 and tell an adult you trust, as soon as you can. Thank you for choosing to tell us what happened.<\/p>\n\n\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f30245-o1\" lang=\"en-GB\" dir=\"ltr\" data-wpcf7-id=\"30245\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/index.php\/wp-json\/wp\/v2\/pages\/30246#wpcf7-f30245-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"30245\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.6\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_GB\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f30245-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<p><label> What is your name? (optional - but it helps us to provide support).<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span><br \/>\n<\/label><label> Your age (optional)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-message\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"your-message\"><\/textarea><\/span><br \/>\n<\/label><label> Gender<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"choose_your_gender_option\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"choose_your_gender_option\"><option value=\"female\">female<\/option><option value=\"male\">male<\/option><option value=\"non-binary\">non-binary<\/option><option value=\"prefer to self to self-describe\">prefer to self to self-describe<\/option><option value=\"prefer not to say\">prefer not to say<\/option><\/select><\/span><br \/>\n<\/label><label> Please select the option(s) that best describe your concern<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"choose_the_option_that_best_describes_your_concern\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"choose_the_option_that_best_describes_your_concern\"><option value=\"I am being pressured to do something I don&#039;t want to do\">I am being pressured to do something I don&#039;t want to do<\/option><option value=\"I am worried about how someone is treating me\">I am worried about how someone is treating me<\/option><option value=\"I feel unsafe\">I feel unsafe<\/option><option value=\"I am worried about how someone is treating me\">I am worried about how someone is treating me<\/option><option value=\"I am worried about how someone is treating another person\">I am worried about how someone is treating another person<\/option><option value=\"Someone has said or done something that has made me feel uncomfortable\">Someone has said or done something that has made me feel uncomfortable<\/option><option value=\"I am being bullied (either in person or online)\">I am being bullied (either in person or online)<\/option><option value=\"Something inappropriate has happened online\">Something inappropriate has happened online<\/option><option value=\"I am worried about an adult&#039;s behaviour\">I am worried about an adult&#039;s behaviour<\/option><option value=\"I am worried about another young person&#039;s behaviour\">I am worried about another young person&#039;s behaviour<\/option><option value=\"This is about discrimination (because of race, gender, sexuality , religion or disability)\">This is about discrimination (because of race, gender, sexuality , religion or disability)<\/option><option value=\"This relates to mental health or wellbeing\">This relates to mental health or wellbeing<\/option><option value=\"I just want some advice\">I just want some advice<\/option><option value=\"other\">other<\/option><\/select><\/span><br \/>\n<\/label><label> What is the best way to contact you if we need to ask follow up questions?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Contact\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"Contact\"><option value=\"phone\">phone<\/option><option value=\"email\">email<\/option><option value=\"text\">text<\/option><option value=\"via another person\">via another person<\/option><\/select><\/span><br \/>\nlabel> Please provide details<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"please-provide-details\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"please-provide-details\" \/><\/span><br \/>\n<\/label><label> Please tell us as much as you can about your concern or worry here<br \/>\nYou could include:<br \/>\n- Who is involved (names and roles, e.g. instructor, coach, another young person)<br \/>\n- What happened<br \/>\n- Where it happened (e.g. at the club, at an event, online)<br \/>\n- When it happened (date or approximate time)<br \/>\n- Whether this has happened before<br \/>\n- Whether anyone else saw or heard it<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-subject\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-subject\" \/><\/span><br \/>\n<\/label><label> Is there anything else you would like to tell us<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-message\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"your-message\"><\/textarea><\/span><br \/>\n<input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Submit\" \/><\/label>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"<p>About this form The water belongs to everyone and everyone deserves to experience the joy and excitement it offers. We want you to enjoy being on the water but we understand this might be difficult if someone is making you feel unhappy, worried or scared. If this sounds like you, don\u2019t keep it to yourself. [&hellip;]<\/p>\n","protected":false},"author":33,"featured_media":0,"parent":30254,"menu_order":1,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-30246","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/tynemouthsc.co.uk\/index.php\/wp-json\/wp\/v2\/pages\/30246","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/tynemouthsc.co.uk\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/tynemouthsc.co.uk\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/tynemouthsc.co.uk\/index.php\/wp-json\/wp\/v2\/users\/33"}],"replies":[{"embeddable":true,"href":"https:\/\/tynemouthsc.co.uk\/index.php\/wp-json\/wp\/v2\/comments?post=30246"}],"version-history":[{"count":3,"href":"https:\/\/tynemouthsc.co.uk\/index.php\/wp-json\/wp\/v2\/pages\/30246\/revisions"}],"predecessor-version":[{"id":30249,"href":"https:\/\/tynemouthsc.co.uk\/index.php\/wp-json\/wp\/v2\/pages\/30246\/revisions\/30249"}],"up":[{"embeddable":true,"href":"https:\/\/tynemouthsc.co.uk\/index.php\/wp-json\/wp\/v2\/pages\/30254"}],"wp:attachment":[{"href":"https:\/\/tynemouthsc.co.uk\/index.php\/wp-json\/wp\/v2\/media?parent=30246"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}