Formal Complaint Form (St. Marys Minor Hockey)

Print Formal Complaint Form

To lodge a formal complaint please use the form below. Please read the page "SMMHA 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 Parties Involved

Select Team:^*
Name of Complainant:^*
Email for Complainant:^*

Example: [email protected]
Phone Number for Complainant (optional):

Example: ###-###-#### x###
Person Complaint is About:^*

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 all 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:^*
Was Parent Rep Contacted?^*
YesNo

Date the Parent Rep was Contacted:

Open the calendar popup.

Steps Taken to Resolve the Issue/Incident:^*

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

Human Validation

Check The Box ^*

Formal Complaint Form (St. Marys Minor Hockey)

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