KAMHA Complaint Submission Form (Kingston Area Minor Hockey Association)

Print KAMHA Complaint Submission Form

To lodge a formal complaint, please use this form. Complaints must be filed within 30 days of the alleged incident(s). Anonymous complaints or incomplete forms will not be investigated. This form is to be completed only after a resolution at the team level with the parent rep is found to be unsatisfactory by the Complainant.

Person Making the Complaint

First/Last Name^*
Role of Complainant^*

Chose One
Phone Number^*

Example: ###-###-####
Email Address^*

Example: yo[email protected]. Your submission will be sent to this address.
Person on whose behalf the complaint is being made

If different from above

Team Information

Team Name^*

Indicate the team you are on. example U18AA or HL 403
Name of Complainant Team's Parent Rep^*

If you do not have a Team Parent Rep add N/A
Name of Coach^*

Respondent Information

Person Complaint Being Filed Against^*

Respondent's Name
Title or Role of Respondent Within KAMHA^*

Nature Of The Complaint

Nature Of The Complaint^*
AbuseCode Of ConductHarassmentOther
Check All That Apply
Describe the complaint^*

Identify the facts and issues. Try to be brief.
Was the Parent Rep Contacted Prior to Completing This Form^*
Why Wasn't the Parent Rep Contacted Prior to Completing This Form

A Brief Description Why
Have attempts been made to resolve the complaint?^*
YesNo (Specify Below)
Have attempts been made to resolve the complaint?

When did the incident occur?^*

Open the calendar popup.

I confirm that the information completed in this form are accurate and truthful and are free from any mal-intent

I understand that this form will be sent to our Director of Risk Management and information will be shared with the Dispute Resolution Committee. A follow up will be issued within 3 business days or earlier depending on the nature of the complaint.

Follow up emails will not be responded to during the time frame mentioned above

I agree to the terms and conditions stated above^*

Human Validation

Check The Box ^*

KAMHA Complaint Submission Form (Kingston Area Minor Hockey Association)

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