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Report Something
Use this form to report information to PATMAD's Safety Committee, which exists to uphold our community standards. Your submission is always confidential and can be anonymous. Thank you for supporting the health and vibrancy of our community.
* Verplichte vraag
Which Event series was this?
*
Thursday Night Contra
SPUDS
Third Saturday Contra
Allons Danser
Anders:
Event Date
*
When did this happen?
MM
/
DD
/
JJJJ
Are you a...
*
Safety Committee member
Board member / Organizer for this event
Community member
Verplicht
Report details
*
Include as much information as you feel comfortable sharing. It's helpful to know what you observed, who was involved, and what your involvement was, if any.
Jouw antwoord
Your name
Optional. We are limited in what we can do with anonymous reports.
Jouw antwoord
Would you like us to follow up with you?
*
Yes, please follow up! I'd be happy to provide more information if you have questions.
Maybe just confirm that you got this report?
No thanks! I just wanted someone to know what's up.
Your contact information
Optional. Allows us to contact you for additional information.
Jouw antwoord
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