North Gold Coast Seahawks Feedback/Complaints Form

North Gold Coast Seahawks Feedback/Complaints Form
Email*
example@example.com
Name*

First NameLast Name
Your Role*

Team Delegate (Seniors)CoachRefereeParentOther
Phone Number*
Please enter a valid phone number.Format: 0400000000.
Your Team Name*
If a junior domestic team, please provide the full name eg. Clippers 16B.3, Wildcats SLG.1
Opposition Team Name*
Game Date & Time*

DayMonthYear
Date
Hour MinutesAM/PM Option
Game Venue*

Coomera Indoor Sports CentreRunaway Bay Indoor StadiumAB Paterson CollegeCoomera Anglican CollegeCoomera Springs State SchoolFoxwell State Secondary CollegeSaint Stephen's CollegeOther
What is your complaint/feedback related to?*

RefereeStaffSpectatorAnother player/oppositionEquipmentPlaying environmentOther
Briefly describe what occurred*
What is your suggested recommendation?*
State the name of the Association Official who first dealt with the problem*
If this question is not relevant to your complaint please type NA
Has this problem occurred before?*

YesNo
Thank you for raising your concerns. Without your input progress & development of our sport is impossible. We will endeavour to have your concerns addressed by the appropriate channels as soon as possible.
Should be Empty: