Member Feedback Form

Opportunity for members to voice concern or provide positive feedback for any and all matters pertaining to Moose Jaw Minor Hockey

Your Name *

Your Email *

Topic/Area *

Select the primary area or department your feedback relates to.

Division / Level *

Choose the age division or program this feedback involves.

Team Name

Enter the specific team name, if applicable.

Role in Association *

Let us know your primary relationship to the association, or the relationship specific to this feedback.

Type of Feedback *

Select the category that best describes the nature of your submission.

Subject Line *

Provide a brief summary of your feedback.

Detailed Feedback *

Share full details, including relevant dates, locations, or circumstances.

Desired Outcome / Resolution *

Let us know what action or resolution you would like to see, if any.

Permission to Contact *

Yes, you may contact me regarding this submission

May an association representative reach out to discuss your feedback?