Dancehouse Policies: INCIDENT REPORT
This form is for reporting an incident relating to Dancehouse's policies and procedures.

Dancehouse requires your personal details, however these will be treated with confidence and you will not be disadvantaged or prejudiced. All reports will be dealt with in a timely and confidential manner.

This form will be submitted to and actioned by the Dancehouse Board Chair
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Email *
Reported by: *
Full name
Title / Role
Phone Number *
Date of Report *
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YYYY
This Report will be sent to: *
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