Reverie Incident Reporting Form

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This form is for reporting incidents of individual harm and unsafe conduct at Reverie Ballroom. Details disclosed here will be used to help the Reverie Team make informed decisions to support the safety of attendees.

Reverie team member Eleanor Chen will be personally going through reports.

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Based on this form, Reverie Ballroom may choose to do any of the following:

- Do nothing, but be more aware of the situation.

- Put the person reported on Watchlist.

- Place a constraint on the person reported, with a strike system.

- Ban the person reported.

- Implement something unique, if the options above are not sufficient.

I understand.

Please select whether you are reporting anonymously. *

I am reporting anonymously

I am reporting with my name and contact information

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Dieses Formular wurde bei Reverie Ballroom erstellt.

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