Third Coast Anonymous Reporting Form
Third Coast Comedy Club was built as a home and safe place for everyone in the community. In an effort to continue in this mission, we're providing this form. If you have been a victim of (or have been a witness of) sexual harassment, abuse, discrimination, or any unsafe situation at Third Coast Comedy Club (or a Third Coast event), please let us know as soon as possible. The report may be submitted anonymously. All reports are confidential. The report will be seen only by our Harassment Committee which includes: Luke Watson (Co-Founder), Scott Field (Co-Founder), Gabrielle Saliba Field, Allison Summers (Instructor), and if needed, Tim Yager (Training Center Director).
Location of Incident *
If ongoing or multiple incidents, please describe below. If through the internet, please enter "online".
Your answer
Date and Time of Incident *
If ongoing or multiple incidents, please describe below.
MM
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DD
/
YYYY
Time
:
Names or descriptions of people involved: *
Your answer
Please describe the activity you wish to report. *
Your answer
Additional Information
If you wish to be contacted regarding this incident, please enter your information below. Please leave blank if you wish to submit anonymously. All of these are optional, you may enter some or none the information listed.
Name
This is optional and not required to submit the form. You may submit this form without completing this section.
Your answer
Email
This is optional and not required to submit the form. You may submit this form without completing this section.
Your answer
Phone Number
This is optional and not required to submit the form. You may submit this form without completing this section.
Your answer
Your Affiliation(s) with Third Coast Comedy Club
This is optional and not required to submit the form. You may submit this form without completing this section.
Submit
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This form was created inside of Third Coast Comedy, LLC.