MIHOA Complaint Form
Complete the form and submit to MIHOA Complaint Committee
Your Name:
*
First Name
Last Name
E-mail:
*
Phone Number:
*
Please provide game information if your complaint involves a game officiated by a MIHOA Official
League:
*
Please Select
Missouri Hockey Youth Division
AAA
Central States
Mid States
MVCHA
Adult Men
Adult Women
Tournament
College
Spring/Summer League
N/A
League Level:
*
Please Select
ADM
Squirt (U10)
Pee Wee (U12)
Bantam (U14)
Midget Major (U18)
Midget Minor (U16)
High School C
High School B
High School JV
High School Varsity
College
N/A
League Sub Level:
*
AAA
Central States
AA
A1
A2
A3
B1
B2
B3
C1
C2
C3
GRHL Gold
GRHL Silver
N/A
Home Team:
*
Enter N/A if no home team
Visiting Team:
*
Enter N/A if no visiting team
Which team are you associated with?
*
Home Team
Visiting Team
I am not associated with either team
Rink:
*
Please Select
Affton
All American
Brentwood
Centene Barn
Centene NHL
Centene Plager
Centene USA
Creve Coeur
East Alton
Enterprise Center
Fenton
FIS Shark Tank
Florissant Civic Center
Granite City
Jefferson City
Kirkwood
Maryville Shanahan
Maryville Hartwig-Kaiman
Mckendree Metroplex Junior
Mckendree Metroplex Pro
Mills
Old Kinderhook
Queeny
RP Lumber Edwardsville
South County
Springfield, IL
Springfield MO
St. Peters North
St. Peters South A
St. Peters South B
Webster Ice Arena
Wentzville Black/Grey
Wentzville Gold/Blue
N/A
Date and Time of Game:
*
-
Month
-
Day
Year
Date Picker Icon
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Relationship to the game or player involved in the incident:
*
Parent
Coach
Spectator
Player
Off Ice Official
On Ice Official
Officials Name:
First Name
Last Name
Officials Name
First Name
Last Name
Officials Name:
First Name
Last Name
Complaint Description:
*
Enter the characters as displayed:
*
Submit
Clear Form
Should be Empty: