RedCity Roar Tribunal Report Form
This report must be submitted within 4 days of the incident. Please fill out information below and select appropriate offence at the end.
Report date and time:
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-
Day
-
Month
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Date and time when incident occurred:
*
-
Day
-
Month
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Venue Incident Occurred:
Please Select
PCYC
Paul Bancroft Centre
Redlands College
Capalaba State College
Reporting Official:
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Are you under 18 years of age?
*
Yes
No
Other Official on game at time of the incident:
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Are you under 18 years of age?
Yes
No
Nature of the Incident
Please provide specific details of the incident
Junior Competition - Which club was the reported person associated with?
Kings
Wildcats
Bayside
Raiders
Dolphins
Crusaders
Crushers
Faith
Junior Competition - Was there another club involved at the time of the incident?
Kings
Wildcats
Bayside
Raiders
Dolphins
Crusaders
Crushers
Faith
Not Applicable
Junior Competition Age Group
Please Select
U10
U12 Boys
U12 Girls
U14 Boys
U14 Girls
U16 Boys
U16 Girls
U18 Boys
U18 Girls
U21 Boys
Youth Girls
Junior Competition Division
Please Select
Div 1
Div 2
Div 3
Div 4
Senior Competition - Which team was the reported person associated with?
Senior Competition - What was the name of the opposing team?
Senior Competition Division
Please Select
Div 1
Div 2
Div 3
Div 4
Name of person being reported:
*
First Name
Last Name
Reported person's involvement in game
*
Please Select
Player
Coach
Assistant Coach
Spectator
Playing Number (if applicable)
Was the offence
*
involving persons other than officials
involving an official
both (officials and person other than officials)
Offence/s
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Disputing the decision(s) of a referee
Unsportsmanlike behavior
Breach of Code of Conduct
Attempting to trip
Tripping
Obscene gestures
Offensive language (which may include abusive, obscene or insulting language)
Attempting to strike
Striking (fist, hand, object, head)
Attempting to elbow
Elbowing
Fighting
Attempting to kick
Kicking
Spitting
Moving under an airborn player (tunneling)
Putting a person in fear of impending violence
Coaching, refereeing, playing scorebench duties while under suspension
Deliberately endangering the safety, healtrh, of players, spectators, officials (incidents involving blood/body fluids)
Conduct which brings the game of Basketball into disrepute
Failure to attend a Tribunal without proper cause when notified
Failure to cooperate in or hindering an investigation or hearing under these by-laws
Intimidating or bullying a person or attempting to do so
Public criticism of officials, coaches or player related to basketball activities
Incident Location (Please provide specific details):
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Incident details (please be as specific & detailed as possible)
*
What led to the incident?
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Has this incident happened before?
*
Yes
No
Was a another RedCity Roar representative, on duty when the incident took place?(Referee Supervisor/Educator, Court Controller or any other RedCity Roar representative) If so who?
*
Please provide any names and contact details of any other witnesses to the incident?
What is your suggested course of action?
*
Required
*
I certify that the above information is true and correct.
Please verify that you are human
*
Submit Report
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