MHSC Restorative Incident & Grievance Form - Welcome to the Muslim Home School Collective

MHSC Incident & Grievance Form

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Parent/Guardian Full Name

Email Address

Phone Number

Child(ren)’s Name(s) & Age(s)

Category of Complaint - Please select the option that matches your concern:

Student-to-Student: Conflict involving children during park days, field trips, or group events.
Administrative / Board Grievance: Concern regarding group policy, board decisions, leadership actions, or operations.

Date / Timeline of the Issue

Where did the incident take place? (if applicable)

Individuals Involved *

Narrative - Please describe what happened. Focus on the facts of the event or policy issue, and avoid assumptions about intentions:

How has this situation impacted your family's experience in our group?

What do you feel is needed to repair the relationship or address the policy issue?