Incident report
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<!DOCTYPE html> <html lang=""> <head> <title>Incident Report</title> <meta charset="utf-8" /> <link rel="stylesheet" type="text/css" href="//static.formstack.com/forms/css/3/reset.css" /> <link rel="stylesheet" type="text/css" href="//static.formstack.com/forms/css/3/default.css" /> <link rel="stylesheet" type="text/css" href="//static.formstack.com/forms/css/3/blueDots.css" /> <link rel="stylesheet" type="text/css" href="//static.formstack.com/forms/css/3/jquery-ui.css" /> </head> <body class="fsBody" id="fsLocal"> <form method="post" novalidate enctype="multipart/form-data" action="https://www.formstack.com/forms/index.php" class="fsForm fsSingleColumn fsMaxCol1" id="fsForm1954627"> <input type="hidden" name="form" value="1954627" /> <input type="hidden" name="viewkey" value="IBO79exMgF" /> <input type="hidden" name="hidden_fields" id="hidden_fields1954627" value="" /> <input type="hidden" name="_submit" value="1" /> <input type="hidden" name="incomplete" id="incomplete1954627" value="" /> <input type="hidden" name="style_version" value="3" />
Incident Report Form
Your Name*
<input type="text" id="field30914576-first" name="field30914576-first" size="50" value="" required class="fsField fsFieldName fsRequired" aria-required="true" /> <label class="fsSupporting fsRequiredLabel" for="field30914576-first">First Name*</label>
<input type="text" id="field30914576-last" name="field30914576-last" size="50" value="" required class="fsField fsFieldName fsRequired" aria-required="true" /> <label class="fsSupporting fsRequiredLabel" for="field30914576-last">Last Name*</label>
<label id="label30914577" class="fsLabel" for="field30914577">Your NASPA ID </label> <input type="text" id="field30914577" name="field30914577" size="50" value="" class="fsField fsAutocomplete" /> <input type="hidden" id="field30914577_options" value="Executive director/Owner/Self-employed|Administrative level|Managerial level|Staff level|" />
<label id="label30914578" class="fsLabel fsRequiredLabel" for="field30914578">Your Email Address* </label> <input type="email" id="field30914578" name="field30914578" size="50" required="required" value="" class="fsField fsFormatEmail fsRequired" aria-required="true" />
<fieldset id="label30914579"> <legend class="fsLabel fsRequiredLabel fsLabelVertical">Date of Incident*</legend>
<input type="hidden" id="field30914579Format" name="field30914579Format" value="MDY" />
<select id="field30914579M" name="field30914579M" class="fsField fsRequired" aria-required="true"> <option value="" selected="selected"> </option> <option value="Jan">Jan</option> <option value="Feb">Feb</option> <option value="Mar">Mar</option> <option value="Apr">Apr</option> <option value="May">May</option> <option value="Jun">Jun</option> <option value="Jul">Jul</option> <option value="Aug">Aug</option> <option value="Sep">Sep</option> <option value="Oct">Oct</option> <option value="Nov">Nov</option> <option value="Dec">Dec</option> </select>
<select id="field30914579D" name="field30914579D" class="fsField fsRequired" aria-required="true"> <option value="" selected="selected"> </option> <option value="01">01</option> <option value="02">02</option> <option value="03">03</option> <option value="04">04</option> <option value="05">05</option> <option value="06">06</option> <option value="07">07</option> <option value="08">08</option> <option value="09">09</option> <option value="10">10</option> <option value="11">11</option> <option value="12">12</option> <option value="13">13</option> <option value="14">14</option> <option value="15">15</option> <option value="16">16</option> <option value="17">17</option> <option value="18">18</option> <option value="19">19</option> <option value="20">20</option> <option value="21">21</option> <option value="22">22</option> <option value="23">23</option> <option value="24">24</option> <option value="25">25</option> <option value="26">26</option> <option value="27">27</option> <option value="28">28</option> <option value="29">29</option> <option value="30">30</option> <option value="31">31</option> </select>
<select id="field30914579Y" name="field30914579Y" class="fsField fsRequired" aria-required="true"> <option value="" selected="selected"> </option> <option value="2010">2010</option> <option value="2011">2011</option> <option value="2012">2012</option> <option value="2013">2013</option> <option value="2014">2014</option> <option value="2015">2015</option> <option value="2016">2016</option> <option value="2017">2017</option> <option value="2018">2018</option> <option value="2019">2019</option> <option value="2020">2020</option> </select> <input type="text" id="fsCalendar30914579Link" class="fsCalendarPickerLink" style="display:none;" aria-required="true" />
<fieldset id="label30914580"> <legend class="fsLabel fsRequiredLabel fsLabelVertical">At what type of event did this incident occur?*</legend>
<label class="fsOptionLabel vertical" for="field30914580_1"><input type="radio" id="field30914580_1" name="field30914580" value="NASPA-sanctioned tournament" class="fsField fsRequired vertical" aria-required="true" />NASPA-sanctioned tournament</label> <label class="fsOptionLabel vertical" for="field30914580_2"><input type="radio" id="field30914580_2" name="field30914580" value="NASPA-sanctioned club" class="fsField fsRequired vertical" aria-required="true" />NASPA-sanctioned club</label>
<label class="fsOptionLabel vertical" for="field30914580_other"><input type="radio" id="field30914580_other" name="field30914580" value="Other" class="fsField fsRequired" aria-required="true" />Other:</label> <input type="text" id="field30914580_othervalue" name="field30914580_other" size="15" class="fsOtherField" aria-required="true" /><label class="fsHiddenLabel" style="display: none;" for="field30914580_othervalue">Other Value</label>
<label id="label30914581" class="fsLabel fsRequiredLabel" for="field30914581">Who was involved in the incident? (List all accused offenders, victims, and witnesses. Include contact information for non-NASPA members)* </label> <textarea id="field30914581" name="field30914581" rows="10" cols="50" required class="fsField fsRequired" aria-required="true"></textarea>
<fieldset id="label30914583"> <legend class="fsLabel fsRequiredLabel fsLabelVertical">What Code of Conduct violation(s) occurred?*</legend>
<label class="fsOptionLabel vertical" for="field30914583_1"><input type="checkbox" id="field30914583_1" name="field30914583[]" value="Abuse of Equipment (Class 1.a.)" class="fsField fsRequired vertical" aria-required="true" />Abuse of Equipment (Class 1.a.)</label> <label class="fsOptionLabel vertical" for="field30914583_2"><input type="checkbox" id="field30914583_2" name="field30914583[]" value="Verbal Abuse (Class 1.b.)" class="fsField fsRequired vertical" aria-required="true" />Verbal Abuse (Class 1.b.)</label> <label class="fsOptionLabel vertical" for="field30914583_3"><input type="checkbox" id="field30914583_3" name="field30914583[]" value="Audible Obscenities (Class 1.c.)" class="fsField fsRequired vertical" aria-required="true" />Audible Obscenities (Class 1.c.)</label> <label class="fsOptionLabel vertical" for="field30914583_4"><input type="checkbox" id="field30914583_4" name="field30914583[]" value="Visible Obscenities (Class 1.d.)" class="fsField fsRequired vertical" aria-required="true" />Visible Obscenities (Class 1.d.)</label> <label class="fsOptionLabel vertical" for="field30914583_5"><input type="checkbox" id="field30914583_5" name="field30914583[]" value="Written Obscenities (Class 1.e.)" class="fsField fsRequired vertical" aria-required="true" />Written Obscenities (Class 1.e.)</label> <label class="fsOptionLabel vertical" for="field30914583_6"><input type="checkbox" id="field30914583_6" name="field30914583[]" value="Leaving the Playing Area During a Game without Legitimate Cause (Class 1.f.)" class="fsField fsRequired vertical" aria-required="true" />Leaving the Playing Area During a Game without Legitimate Cause (Class 1.f.)</label> <label class="fsOptionLabel vertical" for="field30914583_7"><input type="checkbox" id="field30914583_7" name="field30914583[]" value="Deliberate Noncooperation with Tournament Officials (Class 1.g.)" class="fsField fsRequired vertical" aria-required="true" />Deliberate Noncooperation with Tournament Officials (Class 1.g.)</label> <label class="fsOptionLabel vertical" for="field30914583_8"><input type="checkbox" id="field30914583_8" name="field30914583[]" value="Unsportsmanlike Conduct (Class 1.h.)" class="fsField fsRequired vertical" aria-required="true" />Unsportsmanlike Conduct (Class 1.h.)</label> <label class="fsOptionLabel vertical" for="field30914583_9"><input type="checkbox" id="field30914583_9" name="field30914583[]" value="Physical Abuse (Class 2.a.)" class="fsField fsRequired vertical" aria-required="true" />Physical Abuse (Class 2.a.)</label> <label class="fsOptionLabel vertical" for="field30914583_10"><input type="checkbox" id="field30914583_10" name="field30914583[]" value="Intimidation, Threats, and Harassment (Class 2.b.)" class="fsField fsRequired vertical" aria-required="true" />Intimidation, Threats, and Harassment (Class 2.b.)</label> <label class="fsOptionLabel vertical" for="field30914583_11"><input type="checkbox" id="field30914583_11" name="field30914583[]" value="Cheating (Class 3.a.)" class="fsField fsRequired vertical" aria-required="true" />Cheating (Class 3.a.)</label> <label class="fsOptionLabel vertical" for="field30914583_12"><input type="checkbox" id="field30914583_12" name="field30914583[]" value="Suspicious Behavior (Class 3.b.)" class="fsField fsRequired vertical" aria-required="true" />Suspicious Behavior (Class 3.b.)</label>
<label id="label30914584" class="fsLabel fsRequiredLabel" for="field30914584">Please provide a detailed description of the incident* </label> <textarea id="field30914584" name="field30914584" rows="10" cols="50" required class="fsField fsRequired" aria-required="true"></textarea>
<fieldset id="label30914585"> <legend class="fsLabel fsRequiredLabel fsLabelVertical">Would you like to upload a file in connection with this incident report?*</legend>
<label class="fsOptionLabel vertical" for="field30914585_1"><input type="radio" id="field30914585_1" name="field30914585" value="Yes" class="fsField fsRequired vertical" aria-required="true" disabled="disabled" />Yes</label> <label class="fsOptionLabel vertical" for="field30914585_2"><input type="radio" id="field30914585_2" name="field30914585" value="No" class="fsField fsRequired vertical" aria-required="true" disabled="disabled" />No</label>
<label id="label30915414" class="fsLabel" for="field30915414">Please select the file to upload </label> <input type="file" id="field30915414" name="field30915414" size="50" class="fsField fsUpload uploadTypes-jpg,jpeg,gif,png,bmp,tif,psd,pdf,doc,docx,xls,xlsx,txt,mp3,mp4,aac,wav,au,wmv,avi,mpg,mpeg,zip,gz,rar,z,tgz,tar,sitx" disabled="disabled" />
<fieldset id="label30915517"> <legend class="fsLabel fsRequiredLabel fsLabelVertical">Would you like to upload a second file in connection with this incident report?*</legend>
<label class="fsOptionLabel vertical" for="field30915517_1"><input type="radio" id="field30915517_1" name="field30915517" value="Yes" class="fsField fsRequired vertical" aria-required="true" disabled="disabled" />Yes</label> <label class="fsOptionLabel vertical" for="field30915517_2"><input type="radio" id="field30915517_2" name="field30915517" value="No" class="fsField fsRequired vertical" aria-required="true" disabled="disabled" />No</label>
<label id="label30915535" class="fsLabel" for="field30915535">Please select the file to upload </label> <input type="file" id="field30915535" name="field30915535" size="50" class="fsField fsUpload uploadTypes-jpg,jpeg,gif,png,bmp,tif,psd,pdf,doc,docx,xls,xlsx,txt,mp3,mp4,aac,wav,au,wmv,avi,mpg,mpeg,zip,gz,rar,z,tgz,tar,sitx" disabled="disabled" />
<fieldset id="label30915697"> <legend class="fsLabel fsRequiredLabel fsLabelVertical">Would you like to upload a third file in connection with this incident report?*</legend>
<label class="fsOptionLabel vertical" for="field30915697_1"><input type="radio" id="field30915697_1" name="field30915697" value="Yes" class="fsField fsRequired vertical" aria-required="true" disabled="disabled" />Yes</label> <label class="fsOptionLabel vertical" for="field30915697_2"><input type="radio" id="field30915697_2" name="field30915697" value="No" class="fsField fsRequired vertical" aria-required="true" disabled="disabled" />No</label>
<label id="label30915722" class="fsLabel" for="field30915722">Please select the file to upload </label> <input type="file" id="field30915722" name="field30915722" size="50" class="fsField fsUpload uploadTypes-jpg,jpeg,gif,png,bmp,tif,psd,pdf,doc,docx,xls,xlsx,txt,mp3,mp4,aac,wav,au,wmv,avi,mpg,mpeg,zip,gz,rar,z,tgz,tar,sitx" disabled="disabled" />
<fieldset id="label30915726"> <legend class="fsLabel fsRequiredLabel fsLabelVertical">Would you like to upload a fourth file in connection with this incident report?*</legend>
<label class="fsOptionLabel vertical" for="field30915726_1"><input type="radio" id="field30915726_1" name="field30915726" value="Yes" class="fsField fsRequired vertical" aria-required="true" disabled="disabled" />Yes</label> <label class="fsOptionLabel vertical" for="field30915726_2"><input type="radio" id="field30915726_2" name="field30915726" value="No" class="fsField fsRequired vertical" aria-required="true" disabled="disabled" />No</label>
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