Arizona Shibari Studio Incident Report Form
Please fill out the following questions so that we may best investigate to come to a reasonable resolution.
You may opt out of submitting a name (both legal and nick name - however this will make it harder to investigate.)
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Your Name (Legal) OPTIONAL
Your Name (Nick Name) OPTIONAL
If you are not remaining anonymous, please enter either an Email Address or Phone Number that you can be reached at if you'd like follow up to this incident
Name(s) of other Parties involved with Incident *
When and Where did the incident occur? *
What Happened? *
Did anyone else see it happen? Who? What did they say? What did they do? *
What did you do in response to the incident or behavior? *
Did you tell anyone about the incident or behavior? Who? What did they say and/or do? *
Do you know why the incident or behavior occurred? *
Is there anything else you want to tell me that I haven’t asked you?
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