Request edit access
Boogie by the Bay - Safety & Access Comment

This form can be used to notify the Safety Liaison of a communal safety or access issue that has been perceived or experienced.
Examples: Flickering lights, unsafe floor surfaces, inaccessible emergency exits, music volume.

This form cannot be used to:
- Request restorative actions or interventions that would require investigation.
- Request follow up communication.
To fill out a comprehensive report form, please click here.

Sign in to Google to save your progress. Learn more
Confidentiality Notice
You have the option of filling out this form anonymously and will have an opportunity to customize the confidentiality of this report. The Swing Reports & Restorations Safety Liaison, Riley Crozier, will have access to all information submitted in this form.

Note: Depending on your action requests, specific members of the Event Team may need to know certain aspects of your report. If you would like to ensure that the relevant Event Team member has access to necessary information for your action request, you can contact the Safety Liaison directly. 
Contact the Safety Liaison Directly
If you would prefer a conversation or you would like to follow up on your comment, you can call or text Riley at +1(408)766-0043 or use the SimpleX app to chat with Riley anonymously (click here for anonymous chat instructions).

Name (optional) & Pronouns (optional):

Please share your comment, experience, and/or concern here, as well as any action requests:

*
Confidentiality Statements: Event Team

Who may know what about your comment?
My identity
My comment or concern
My action request or suggested action
May be discussed openly with the event team, potential witnesses and the person(s)-of-concern with the understanding that this could lead to public awareness.
Andy Bouman (he/him) – Event Co-director
Beth Bellamy (she/her) – Event Co-director
Estelle Bonnaire (she/her) – Head Judge
Kelly Casanova (she/her) – Secondary Head Judge/Raw Score Judge
Mark Slater (he/him) – Registration/Scorekeeper
Lindsey Casillas (she/her) – Contest Coordinator
Alison Gibson (she/her) – Registration/Boogie Committee Member
Calypso Pacific (she/her) – Swing Reports & Restorations Trainee
Dylan Baker (they/them) – Swing Reports & Restorations Trainee
I would like Riley to contact me to discuss my confidentiality needs (check any box in this row and Riley will reach out to you before taking any action)
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report