WSMHA Hockey Complaint Form (Whitchurch Stouffville Minor Hockey Association)

WSMHA Hockey Complaint Form

We ask that you take the 24 hour rule into consideration prior to completing the form. Complaints will only be reviewed if the form is fully completed by the submitter. Refer to our Anonymous Complaint Policy which can be found on our website at https://wsmha.com/Public/Documents/WSMHA/2024-08-19_WSMHA_Policies.pdf

Contact Information

Please fill in the following information

First Name^*

Required

Last Name^*

Required

Email^*

Required

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

Phone #

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

Your Role^*

Required

Complaint Information

Please provide the name (if known) and details of the person you are filing the complaint about

First Name

Last Name

Role of Person complaint is being reported on^*

Required

Complaint Details

Please provide the details of the complaint

Team Name^*

Required

Date of Incident^*

Required

Time of Incident^*

Required

Location of Incident^*

Required

Which arena or other location

Incident Details^*

Required

Due to the highly confidential nature of the information contained on this form, the WSMHA is committed to providing limited, restricted, and secured access to this information.

As a result, to assist us in our effort to maintain your privacy, we request you do not disclose or provide this form or any information related to this form, to any individual other than the Risk Director for the Whitchurch-Stouffville Minor Hockey Association (WSMHA).

I agree to the terms and conditions stated above^*

WSMHA Hockey Complaint Form (Whitchurch Stouffville Minor Hockey Association)

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Contact Information

Complaint Information

Complaint Details

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