Concern Report (West Lorne Comets)

Concern Report

Please complete this form only if you do not feel comfortable going directly to your Parent Rep, or you feel that your issue needs further review by the Board. This form is for hockey related concerns. PLEASE NOTE: Safe Sport Reporting is available. Safe Sport Reporting through OMHA must be used for all reports of abuse, and other OMHA Code of Conduct Violations. To file a report, please click on the Safe Sport Tab above or visit the OMHA Safe Sport Complaint Process Information Page.

Concern Report

Please complete the required information if you do not feel comfortable approaching your Parent Rep directly. This form can also be used if you have completed the process with your Parent Rep and feel your issue needs further review the by Discipline Committee.

Date of Submission^*

Required

Please include the today's date (your date of completing this form)

Your Full Name:^*

Required

Your Email:^*

Required

Your Phone Number:^*

Required

Affected Party's Name:^*

Required

Please include the name of the person you are making the report on behalf of.

Your Relationship to the Affected Party:^*

Required

Name of Affected Party's Team:^*

Required

Have you previously reported this concern to your Parent Rep?^*

Required

Respondent's Name:^*

Required

The name of the person you are making the complaint about

Respondent's Role:^*

Required

Select one

Respondent's Minor Hockey Association^*

Required

If within West Lorne, please submit "West Lorne Minor Hockey"

Respondent's Team:^*

Required

Date of Incident^*

Required

Incident Details:^*

Required

If your submission will exceed 2000 characters, please attach a separate file under "supporting documents."

Are you filing this complaint anonymously^*

Required

Please upload any supporting documents here,

Allowed extensions: .jpeg, .jpg, .png, gif, .pdf, .doc, .docx.
Maximum # Files: 10. Maximum File Size: 4MB.

File types accepted: images, pdf, word documents

Upon completion of this form, the Discipline Committee will review the information.

We will do everything we can to keep the details confidential. However, we cannot guarantee complete anonymity, as we may need to share some information in order to properly investigate the issue.

Concern Report (West Lorne Comets)

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Concern Report

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