Incident Report - World Swing Dance Council

WSDC MEMBERSHIP

Search

Search

About
Points
Events
Rules & Info
Contact

Menu

About
Points
Events
Rules & Info
Contact

Chief Judge Incident report

Chief Judges: Use this form to report any incidents that happened at a Registry Event that you want the WSDC board to know about.

DATE OF REPORT

EVENT INFORMATION

NAME OF EVENT

LOCATION OF EVENT

INCIDENT INFORMATION

DATE OF INCIDENT

TIME OF INCIDENT

LOCATION OF INCIDENT

DESCRIPTION OF THE INCIDENT

WITNESS INFORMATION

WERE THERE WITNESSES TO THE INCIDENT?

Yes No

NAMES OF WITNESSES

REPORT FILED BY

NAME (Chief Judge)

EMAIL ADDRESS

OFFICE USE ONLY (Please leave blank)

REPORT RECEIVED BY

DATE

FOLLOW-UP ACTION TAKEN

Facebook-f Instagram

#worldswingdc

Get our newsletter

First Name

Last Name

Email