SGM Incident/Complaint Form

This form is to be filled out by Team Officials ONLY in case of an incident or complaint during an SGM event. Management will ask for submissions from all parties involved in the incident and the details submitted in this form will form part of the investigation of the incident.

Question Title

* 1. Please provide your contact information below

Your Name

Team Role

Email Address

Phone Number

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* 2. Your Teams Information

Club Name

Team Name

Age Group

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* 3. Incident Details

Approximate Incident Time

Location (Field Number)

Opposition Team

Date of incident

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* 4. Please describe the incident or details of your complaint. Please provide as much detail as possible.

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* 5. Would you like to be contacted with the outcome of the investigation?

Yes

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* 6. Tournament or Competition

JCL

Futsal

Youth Super Cup

Schools Cup

Youth Super Cup

Other (please specify)