WMHA Complaint Submission Form (Whitby Minor Hockey)

Print WMHA Complaint Submission Form

Please note the following: 1) WMHA 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 WMHA may share some or all of this information in the process of resolving the complaint. The WMHA Privacy Policy will be followed per policy 2) Complaints will be addressed according to severity, resources and safety for participants 3) All complaints must accompany the WMHA "Complaint Submission Form" prior to review

Please complete the following

Person making the complaint

First/Last Name ^*
Please indicate if you are a player, parent, volunteer, official or employee^*

Choose one option
Primary Phone Number ^*

###-###-####
Mailing address^*
Email Address^*

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) against whom you are complaing^*
Title or Role within WMHA^*

When did the incident occur?^*

Open the calendar popup.

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

Harassment, Abuse, Bullying, Misconduct, Other
Particulars: please provide a summary of the incident^*

Should include, date, location, persons involved, description of what happened