Safe Spaces Reporting

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This form is completely anonymous! However, if you want to be contacted by Swing Ann Arbor about your concerns, you can identify yourself at the bottom of this form.

Swing Ann Arbor is dedicated to fostering a safe and comfortable event experience for everyone, regardless of gender, age, sexual orientation, ability, physical appearance, body size, race, or belief practices. We do not tolerate harassment in any form. Intimidation, stalking, offensive or sexual language and imagery in social situations is not appropriate for any Swing Ann Arbor venue, including dances, lessons, Facebook, and other social media. Additionally, the physical safety of our attendees is of great importance, and Swing Ann Arbor does not tolerate any potentially unsafe behaviors. Event participants violating these rules may be sanctioned or expelled from the event without a refund at the discretion of the organizers.

If you would like to report an incident to law enforcement, you can contact the...
- U-M Division of Public Safety & Security (U-M DPSS), if the incident occurred on-campus.
- Ann Arbor Police Department, if the incident occurred off-campus.

On approximately what date and time did this incident occur? If ongoing, please note the earliest date.

YYYY

Time

As clearly as possible, please describe the incident(s), including as much relevant information as you are comfortable sharing (names, location, witnesses)

In reporting this incident to Swing Ann Arbor, what is your ideal outcome? (check all that apply)

I don't want any action to be taken. I just wanted to bring up this issue

I want someone from Swing Ann Arbor to talk to this person who made me feel uncomfortable, but I don't want my name or specific details from this report to be used

I would like someone from Swing Ann Arbor to talk with the person who made me feel uncomfortable and I am okay with my name and specific details from this report being used

I want someone from Swing Ann Arbor to work with me to talk to the person who made me uncomfortable

Other:

If you are comfortable providing your name and contact information so someone from Swing Ann Arbor can follow up with you on this incident report, please enter your information below.

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