SD Contra Dance Incident Report
San Diego Contra Dance is an inclusive dance community committed to providing a fun and safe environment for everyone. This form provides a way to report an uncomfortable or inappropriate interaction at a SD Contra Dance event. Only members of a designated conduct committee of volunteers will have access to the information provided in the form. Information may be used to pursue appropriate further action ranging from providing feedback to expulsion; 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.
When did the incident occur? *
MM
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DD
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YYYY
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
Your preferences: are you completing this form to: (check all that apply) *
Required
Do you have any additional comments or questions?
Your answer
Your Name
Your answer
Contact Information
Your answer
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