DCC Incident Report Form

District Clay Center strives to cultivate and promote the ceramic arts in the DMV region through quality education, exhibitions, and a vast array of studio equipment. Our clay community embraces creativity, diversity, inclusion, respect, and a welcoming environment for students and artists of all levels.

If you have experienced an incident at District Clay that violates our community values of creativity, diversity, inclusion, respect, or a welcoming environment, please take a moment here to let us know the details.

We are deeply sorry that you've had a negative experience in our studio. Our management takes violations of our community values seriously and will do our best to resolve your concerns in a timely manner.

Your report may be anonymous or signed depending on your comfort level. If signed, we may follow up with you directly to further investigate the incident at hand.

1. Your Name:

2. Please provide your email in case we need to follow up.

3. I am a...

4. Date of Incident: *This question is required.

5. Time of Incident: *This question is required.

6. Location of Incident (Big wheel room, by the kilns, outside DCC, etc.): *This question is required.

7. Incident Description:
Include details on how the incident happened, factors leading to the event, and what took place. Please be as specific as possible. *This question is required.

8. Were there any witnesses to the event? *This question is required.

9. Please provide the names of the witnesses to the event:

9. Were police notified? *This question is required.

10. Did you collect any of the officers' names? Please list below:

10. Did you collect any of the officers' badge numbers? Please list below:

10. Was anybody injured? *This question is required.

11. Was medical treatment provided?

11. Where was the treatment provided?

Please enter an 'other' value for this selection.

11. Do you have additional comments, questions, or concerns?