Events Response Form

In order to provide a comfortable environment and safe place for everyone, we would like to extend this anonymous form so that we, as the palana board, are aware of any misdemeanor or concerning situations that occur either with palana members or in the house.

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What's on your mind? *
When and at what event did this occur? *
Do you want to meet with us to discuss further implementations? *
If so, what is your email address?
Suggestions for resolving this issue? *
I have a concern as a:
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