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DANA Services
(Domestic Abuse is NOT Acceptable)
Child Safety Plan
Safety plans are most effective when a professional helps you construct them. For help with a child's safety plan, contact our office at (336) 372-3462. In Alleghany County, your school's guidance counselor have plans that they can help you fill out.
MY SAFETY PLAN: (for emergencies call 911)
When these things happen in my house, I do not feel safe:
1._______________________________________________________
2._______________________________________________________
3._______________________________________________________
This is someone I can call when my house is unsafe.
Name of Person:____________________________________________
Phone Numbers:____________________________________________
What plans should I make with that person: (Example: this person will come pick me up or this person may call 911)
___________________________________________________________
___________________________________________________________
___________________________________________________________
In my home, a safe place I can stay until the fighting stops is... (Examples: bathroom, bedroom closet, the basement, my brother's room)
____________________________________________________________
____________________________________________________________
WARNING: Never hide in a small place with no air that you could get trapped in, like the trunk of a car or an old freezer!
If I or someone in my family is in real danger I can call 911.
I will give them this information:
My name is: _____________________________________________________
I'm calling because: (Examples: my parents are fighting/someone is being hurt)
________________________________________________________________
My address is: (Physical address NOT PO Box)
________________________________________________________________
My house is near:
________________________________________________________________
My phone number is:
________________________________________________________________
Child Safety Plan designed & distributed by DANA Services (336) 372-3462. | 
Child Safety Plan
