“This system is safe, effective and BULLY proof!!”

NO names OR faces required™

THIS FORM IS NOT EFFECTIVE UNTIL YOUR SCHOOL IS REGISTERED WITH B.A.P!!

If you see it, report it…..STOPbullyNme.com™

If you are a victim………STOPbullyNme.com™

If you are a witness or a victim of bullying, please fill this form in strict confidence completely so we can ENSURE to help and protect you. All information submitted is held in the strictest confidence.

We are asking for your first and last name for our records. If you prefer for us NOT to submit your name, then we will NOT. We will still follow through and notify your school very discreetly. Please DO NOT share the fact that you have submitted this form with your peers.

B.A.P™ is ONLY effective……..

IF you allow your school to execute the situation professionally and discreetly through the B.A.P program!! Every school MUST BE BAP compliant to have a Pilot Trial at their School. Please contact Danielle directly Via email at Info@STOPbullyNme.com or a phone call at 352-356-3555. With your help BAP can be the SOLUTION TO BULLYING overnight! KIDS ARE DYING DAILY!!

The STOPbullyNme Incident Form

 

First Name:
Last Name:
Email:
School Name:
City:
Teacher's Name:
How Old Are You?
Mom's Name:
Phone Number:
Bully's Name:
Situation:

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