Safeguarding Form

Your Name

Your connection to Verso Vineyard Church

Your Contact Number

Your Email Address

Adult or Child’s Full Name

Tell us who you have a concern about

Adult or Child's Address

If known, please tell us the address of the person you have a concern about.

Site / Ministry Area / Group

What area does this relate to?

If not listed above:

If not listed above, please identify here.

Where (location) did it take place?

Tell us about your concern, the disclosure or the incident you are reporting, and why you think it needs action.

Please provide as much information as you can including names, times and dates.

Who saw it?

Action taken so far

Has any action been taken by a third party? Please identify who else has been informed of this.

I confirm that the information I have included in this form is, to the best of my knowledge, accurate and I hereby give permission for Verso Vineyard Church to contact me on the details provided if further clarification about this matter is required.

I have read, understand and accept your data and privacy policy

Thank you for taking the time to make Verso a safer place. We have received your comments and will consider the appropriate next actions.

Should you have any specific questions, please contact our Head of Safeguarding, Gil Yon on gil@verso.church
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Verso Vineyard Church
7 Brick Knoll Park, St Albans, AL1 5UG

01727812765   |   WhatsApp Us

office@verso.church

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Verso Vineyard Church is a company limited by guarantee no. 3445897 and a registered charity no. 1066846

'VINEYARD' is a United Kingdom and European Union trademark registered to Vineyard Churches UK & Ireland. The 'VINEYARD CHURCHES' Logo, Vineyard 'grapes' device and 'VINEYARD' with 'grapes' device logo are all registered trademarks of Vineyard Churches UK & Ireland. Used here under license. All rights reserved.