BIDA Safety Team Reports
Welcome to the BIDA Safety Team Report form, where we hope to help BIDA become a safer and more inclusive dance space for everyone.

To submit something anonymously, put "anonymous@example.invalid" for your email address
Email address *
Date of report:
MM
/
DD
/
YYYY
Name of person submitting safety concern: *
If you want to submit this form anonymously, please feel free to type N/A, Annonymoose, etc.
Preferred method of following up with the person submitting the safety concern:
Clear selection
Contact info for preferred method of contact:
Describe the safety concern. *
Where did the safety issue arise? *
Is this a reoccurring safety concern? If so, has it previously been brought to attention of the BIDA safety team? If yes, when?
Are there any other people involved in or who were witness to the safety concern? If so, whom?
Is anyone involved in the safety concern a minor?
Clear selection
Was anyone involved in this concern physically injured?
Clear selection
Are there any legal aspects of this concern that the BIDA safety team needs to be aware of? If yes please provide details.
May the BIDA safety team talk to the people involved in the safety concern? *
Would the complainant prefer to be kept anonymous from the subject of the safety concern? *
Thank You For Dancing with Us,
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy