TCD Incident Report
Triangle Country Dance (TCD) strives to create a safe and friendly atmosphere to engage in social dance. This form is a safe place to report an uncomfortable or inappropriate interaction at a TCD event. It can be completed anonymously and only the current President of the TCD Board and a designated Safety Committee of board members will have access to see the information provided. All reports will be reviewed to determine next steps. If you wish to receive information about follow up, please provide contact information at the end of the form.

We do not discriminate on the basis of basis of race, religion, gender, gender expression, age, national origin (ancestry), disability, marital status, or sexual orientation in any of our events. We are committed to providing an inclusive and welcoming environment for all members of our dance community.

When did the incident occur? *
Who else was involved in the incident? If you do not know their name, provide a brief description. *
Your answer
Describe (with as much specificity as possible) the nature of the interaction. *
Your answer
Has this type of incident happened more than once with the same offender? *
Do you have any additional comments or questions?
Your answer
Name and contact information
Your answer
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