Incident report form
Only the Cape Town Swing Safe Spaces team will have access to the information you give us. Please don't hesitate to contact us if you are concerned for your safety: / +27 72 956 2336
Your name
You may leave this blank if you prefer
Your answer
Contact details
If you would like us to contact you.
Your answer
Incident description
Please describe what happened. The more information we have, the better equipped we will be to help you and/ or manage the situation.
Your answer
Any other relevant information
e.g. time, place, your reaction, how you felt, whom you spoke to, etc.
Your answer
What would you like us to do?
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