Report a Bully

Your name (optional) :

Please tell us what happened, or what you witnessed happen:

Name of student being bullied :

Name(s) of any witnesses :

Location of incident :

When did the incident occur:  

Does any adult in the school know about the incident?
If yes please provide thier name:


4810 Foothill Road, Carpinteria, CA 93013 - Phone: (805) 684-4107 - Fax: (805) 566-5952