Sporting Event/Game Incident Report

What is this form for?

This form is provided by the California Department of Education (CDE) and is used to report any incidents that occur during school-sponsored athletic events. It helps ensure that all concerns are documented and addressed appropriately.

Who can submit this form?

• Students
• Parents/Guardians
• Coaches
• School staff
• Spectators

Anyone who witnesses or is involved in an incident at a school sporting event may submit a report.

How to submit the form:

1. Drop off
2. Complete all sections of the form with as much detail as possible.
3. Submit the completed form to Santa Paula Unified School District by one of the following methods:

3. • Email: titleix@santapaulausd.org
   • Drop-off: Student Support Services, 500 E. Santa Barbara Street, Santa Paula, CA 93060
   • Mail: Student Support Services, 500 E. Santa Barbara Street, Santa Paula, CA 93060