"*" indicates required fields

Thank you for taking the initiative and time to complete an incident report.

We take any report such as this very seriously and appreciate your honesty and clarity in the reporting process to ensure we can respond to the issue as efficiently as possible.

Your report will be seen by the Belgravia All Star Group National Operations Manager Danelle Cooney, as well as the Gym Manager for the specified location (listed below).

  • Bacchus Marsh - Kim Manallack-Benstead
  • Bendigo - Kim Manallack-Benstead
  • Box Hill - Jai Gilbert
  • Epping - Jai Gilbert
  • Footscray - Jai Gilbert
  • Heathcote - Kim Manallack-Benstead
  • Mile End - Madi Spencer
  • Seaford - Madi Spencer
  • Springvale - Jai Gilbert
  • Warragul - Erica Jan

If you would like to make a report to a different person, please contact Isabella Coleman via email; bcoleman1@belgraviaallstargroup.com.au. 

 

When completing this form, we ask that you add as much information as possible. Please note that your identity will be protected, however we will contact you to follow up on this report and for more information. The details of the incident you provide will not be shared outside of due diligence investigation. 

Incident Details

Date of Incident*
Approximate Time of Incident*
:
Please be as specific as possible, so we can ensure that we have the full picture of the situation. Also be sure to include the names of anyone involved.
What action, if any, do you think is necessary in this situation?
Name of Person Completing Form*
Signature*
By signing this form you agree that the information and details provided above are truthful and an accurate depiction of the incident to the best of your knowledge and recollection.