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

Print BGHA Formal Complaint Form for HL

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^*

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

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