Complaint Submission Form (Whitby Girls Hockey Association)

Complaint Submission Form

Please note the following: 1) The WGHA cannot guarantee complete confidentiality. The contents of this document may be shared in an effort to resolve the complaint here within. By completing the form, you agree that the WGHA may share some or all of this information in the process of resolving the complaint. 2) Complaints will be addressed according to severity, resources and safety for participants. Please note complaints are forwarded to our Disciplinary Committee and not to the board directly.

Please Complete the Following

First/Last Name^*

Required

Please indicate if you are a player, parent, volunteer, official or other^*

Required

If other, please specify

Primary Phone Number^*

Required

Example: ###-###-####

Email Address^*

Required

Example: [email protected]. Your submission will be sent to this address.

Person on whose behalf the complaint is being made

If different from above

Name of the Person(s) and their Title/Role within the WGHA against whom you are complaining^*

Required

When did the incident occur?^*

Required

Please check the ground(s) that best describe your complaint^*

Abuse
Bullying
Harassment
Other

Check All That Apply

Particulars: please provide a summary of the incident^*

Required

To provide additional information, attach your document here

Allowed extensions: .jpeg, .jpg, .png, gif, .pdf, .doc, .docx, .xls, .xlsx.
Maximum # Files: 1. Maximum File Size: 4MB.

Has there been an attempt to address the issue?^*

Required

What do you consider to be a reasonable solution to the issue?^*

Required

Acknowledgement

By submitting, you certify that, to the best of your knowledge, the representations included herein are accurate, complete, and true; and not vexatious in nature. This incident report will be shared with the Disciplinary Committee, and the respondent may be informed that a complaint has been filed against them.

I agree to the above statement^*

Yes

Required

Complaint Submission Form (Whitby Girls Hockey Association)

Please Complete the Following

Acknowledgement

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