BGHA Formal Complaint Form for Rep (Brantford Girls Hockey Association)

Print BGHA Formal Complaint Form for Rep

To lodge a formal complaint please use the form below. Please read the page "BGHA Complaint Process" prior to completing this form. Submissions found not in compliance with or missing steps from that process may be summarily dismissed without a response. Please do not send emails in addition to this form.

Information on the Parties Involved

Select Team^*
Name of Complainant^*

Please enter the name of the person logging the complaint
Email of the Complaintant^*

Please enter a valid email address
Phone Number of the Complainant (optional)

Enter phone number for the Complainant
Person complaint is about^*

If a coach complaint, enter his/her name here

Incident/Complaint Detail

Please include as many specific facts and details as possible

Date and approximate time of incident^*

Open the calendar popup.

Open the time view popup.

If multiple incidents, choose the most recent

Details of Incident^*

Provide a summary of ALL the details of the issue/incident and any other relevant facts. Please include the name of the relevant player.
Resolution Options^*

In your opinion, what reasonable steps could be taken that would substantially solve the issue and allow the parties to move forward?
Other Pertinent Information
Attachments

Allowed extensions: .jpeg, .jpg, .png, gif, .pdf, .doc, .docx, .xls, .xlsx.
Maximum # Files: 1. Maximum File Size: 4MB.
Attach any relevant documents or files related to the incident

Steps Taken to Resolve the Issue

Name of Parent Rep / Convenor^*

For Rep teams enter the Parent Reps name. For House League enter the Convenor's name
Was the Parent Rep / Convenor contacted?^*
NoYes

Date the Parent Rep / HL Convenor contacted

Open the calendar popup.

Enter the date that Parent Rep / HL Convenor contacted

Steps Taken to Resolve Issue^*

Provid a summary of any and all steps taken to resolve the issue

Human Validation

Check The Box ^*

BGHA Formal Complaint Form for Rep (Brantford Girls Hockey Association)

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