Form 10: Confidential Safeguarding Report | Sporting Pearls Football Academy

Step 01 of 04

Reporter Identification & Confidentiality

Tell us who is submitting this report or choose to report anonymously.

🛡️ Confidential Reporting

You may submit this report completely anonymously. If you choose to give your details, they are visible only to the academy's Designated Safeguarding Officer (DSO), on a strict need-to-know basis. Please understand: where a child is at risk, the DSO may be required by law to share relevant information with statutory authorities (such as the Children's Officer or the Police). Reports made in good faith are handled seriously and discreetly, and retaliation against anyone raising a genuine concern is a disciplinary offence at the academy.

While you type, and if the report cannot be sent right away, a copy is kept on this device only — for up to 48 hours — and deleted once delivered or expired. Please use a device you trust. How we handle your information.

Reporting Preference *

Reporter Full Name *

Your Role in the Academy *

Direct Phone Number

Email Address

Step 02 of 04

Person(s) Involved & Category of Concern

Details regarding the minor(s) at risk and the nature of the safeguarding concern.

Child / Player Name (If known) *

Estimated Age / DOB

Squad Tier Involved *

Nature of the Safeguarding Incident (Select all that apply) *

Physical Harm / Excessive Force

Inappropriate physical punishment, aggressive contact, or violence.

Emotional Abuse / Bullying

Humiliation, derogatory language, persistent yelling, or isolation.

Sexual Misconduct / Inappropriate Messages

Unacceptable private messages, boundary breaches, or harassment.

Neglect / Medical Risk

Failure to provide hydration, medical neglect, or unmonitored hazards.

Discrimination & Exclusion

Gender-based bias, tribal/religious discrimination, or disability exclusion.

Financial Misconduct / Bribery

Demanding unauthorized fees or financial exploitation of players.

Person(s) Whose Conduct is in Question (If applicable)

Step 03 of 04

Factual Incident Narrative

Please provide as much factual, objective detail as possible without speculation.

Date of Incident / Occurrence *

Approximate Time

Specific Location / Field *

Detailed Factual Description of the Concern / Incident * Stick to facts: who was there, what was seen or heard, and any actions taken immediately after.

Names of Any Witnesses / Observers

Has the Child Disclosed this to Anyone Else?

Step 04 of 04

Immediate Safety & Final Submission

Review the report and submit it directly to the Designated Safeguarding Officer (Safeguarding Lead).

Safeguarding Incident Summary

Reporting Status:-

Child / Player:-

Squad Tier:-

Incident Location:-

⚠️ Is the Child in Immediate Physical Danger?

If a child is in immediate physical danger or requires urgent medical attention, immediately contact Kenya Police (999 / 112) or Childline Kenya Toll-Free (116) in addition to submitting this academy report.

Has External Authority Been Notified?

OB Number / Police Reference (If applicable)

I declare that this report is made in good faith to protect child welfare and reflects the truth to the best of my knowledge. *