CMHA Formal Complaint Form (Cambridge Minor Hockey)

CMHA Formal Complaint Form

Team^*

Required

Name of Complainant^*

Required

Email of Complainant^*

Required

Phone Number of Complainant:^*

Required

Person Complaint is About:^*

Required

(example: Coach/Name)

Date of the Incident^*

Required

Approximate Time of the Incident:^*

Required

Details of the Incident: ^*

Required

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

Resolution Options:^*

Required

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

Other Pertinent Information:^*

Required

Attachments:^*

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

Attach any relevant documents or files to this incident

Name of Parent Rep/Convenor:^*

Required

For Rep/Select teams the Parent Rep's name. For house league, enter the convenor's name

Was the Parent Rep/Convenor Contacted?^*

YesNo

Required

Date that the Parent Rep/Convenor was contacted:^*

Required

Steps Taken to Resolve the Issue:^*

Required

Provide a summary of any and all steps that were taken to resolve the issue.