Report an Incident

CBC is committed to providing a safe and accepting environment for all of the club members. Please use this form to report incidents that do not help us in our mission. Anonymous reporting is allowed, however the more information we receive, the better we will be able to deal with the incident and prevent it from happening in the future.

Name (If you would like us to contact you about the incident, please include name and email address) *

First

Last

Email *

* Indicates required field

Program *

Type of Incident *

Please describe the incident (include date, approximate time, location). *

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