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We would like to ensure that Galena Schools are a safe place to be for all students. In order to do this, we need your help.  Please provide us with as much information as you can about the bullying situation that you have witnessed. All information that you submit is confidential and no other students will ever know that you filed this report. Thank you!

Name (optional)

Name of Bully

Name of Victim

Description of Bullying Activities

Other Witnesses