3C's Minor Hockey Association
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3C's MHA Complaint Form

This form is for members of 3C’s MHA to report incidents of unacceptable behavior, including verbal or physical harassment or abuse involving a player, coach, official, or spectator.

Your Name *

Your Email *

INCIDENT REPORT FORM

Date, Time & Location of the incident *

Name of the Offending Individual *

Associated with which team (Team Name) *

Name(s) of any additional witness *

Please provide a clear description of the unacceptable behavior witnessed. *

Please summarize your expectation of the outcome resulting from your report.

All reports will be reviewed by 3C’s MHA and investigated as appropriate. While a written response may not be provided for every report, the Association will make every effort to follow up with the complainant during or after the investigation. Please allow adequate time for the review and investigation process.