KRVA Violation Report Form
Items that should be reported but are not limited to: significant conduct issues by any participant, particularly ejections of players or coaches; violations of KRVA/USAV Code of Conduct; violations of USAV’s Junior Club Personnel Code of Ethics; violations that would constitute sexual harassment.
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Best Time to Call
*
Please Select
Morning (8am-11am)
Afternoon (12pm-4pm)
Evening (5pm-8pm)
Email
*
example@example.com
Are you affiliated with a Club?
*
Yes
No
Club Name
Team Name
Event Type:
*
Please Select
Tryouts
Practice
Tournament
Camp/Clinic
Other
Event Location
*
Date of Incident
*
-
Month
-
Day
Year
Date
Report Topic
*
Please Select
Player Ejection
Coach Ejection
Other Ejection
Officiating (R1 or R2)
Facility Issues
Behavior
Work Team
Other
If Selected Other for Report Topic please explain:
Your Position at this Event
*
Please Select
Tournament Direct
Coach
Parent
Official
Other
Regarding
*
Tournament Director
Coach
Parent
Official
Player
Other
Comment/Complaint (Must Be Specific)*
*
Give A Brief Summary Of The Violation In Including Names. List Any Additional Witnesses If Applicable.
Please verify that you are human
*
Submit
Should be Empty: