The Plaza · Policies
Incident Report Form

Use this form to report any incidents, accidents, or concerns that occurred at KickingBird PicklePlaza. All reports are reviewed by facility management and treated with confidentiality.

Important: If this is a medical emergency or involves immediate safety concerns, please call 911 first and notify a staff member at the Clubhouse Desk immediately. This form is for non-emergency reporting only.
Your Information
Incident Details
Persons Involved
Incident Description
Code of Conduct Reference
Certification
By typing your name above, you certify that the information provided in this report is accurate and complete to the best of your knowledge.

Clicking submit will open your email app with this report pre-filled.
Simply hit Send to submit your report to KBPP management.

✅
Report Submitted!

Thank you for submitting your incident report. Your email app should have opened with the report ready to send to kbpickleplaza.info@gmail.com.

If your email app didn't open, please email us directly at kbpickleplaza.info@gmail.com with the details of your incident.

KBPP management will review your report and follow up with you within 2 business days.