BRADFORD SOCCER CLUB
COMPLAINT FORM

Any coach, player, parent, grandparent or guardian, or referee, judged by the BSC to be guilty of harassing behavior or abusive conduct towards anyone during a BSC event will be reprimanded in writing, and may result in the member being restricted from any services rendered by the Club including attendance at all soccer activities within the Club. In such cases, as determined by the Discipline Board, a member may be reinstated, upon request after being subject to a review hearing.

Name of Complainant:   Phone # :  
Phone # :   Date of Incident:  
Name of Involved Parties:
(if known)

Address of Parties
(if known)

Individual # 1 Individual # 2
Nature of Complaint:

Describe the incident,
please include teams,
age groups, and detail
any actions taken at the
time (if any).
 

Signature: __________________________________________________ Date: ___________________________________

Office Use Only:
Harassment Officer:   Closed Date:  
Action Taken: