Kingman Pickleball Club Formal Complaint Form
Today's Date
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Month
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Day
Year
Date
Your Name
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First Name
Last Name
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Email
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example@example.com
A formal complaint may be submitted for concerning behaviors at KPC sponsored events when the conduct includes at least one of the following: (Please check all that apply)
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Physical assault
Physical intimidation
Verbal threats of bodily harm
Derogatory slurs
A recurring offense
Behavior so egregious that a player does not feel safe
Conduct that endangers, or appears to endanger, a player’s health, safety, or well-being
Date of The Incident
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Month
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Day
Year
Date of the incident.
Time of The Incident
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Hour Minutes
AM
PM
AM/PM Option
Where did the incident take place?
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Who was involved in the incident? Provide name(s) of the player(s) involved.
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0/30
What happened? Provide a description of the incident. Explain specific behavior that constitutes misconduct, including dates, times, and locations.
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0/1000
If you have evidence you wish to share (messages, photos, etc.), please describe it. A Board member will contact you if additional detail is needed.
0/1000
What resolution are you seeking?
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0/1000
Submit
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