Covid-19 Policy Concern Form (Western Counties Baseball)

Print Covid-19 Policy Concern Form

Please complete this form if you have any concerns about an individual or team not following the policies or procedures as set out by Baseball Ontario or the Western Counties Baseball Association. All form entries will be reviewed and retained by the staff and or executive of the WCBA.

Your First Name^*
Your Last Name^*
Your phone number

Example: ###-###-####
Your email address^*

Example: [email protected] Your submission will be sent to this address.

Date and Time of incident

Open the calendar popup.

Open the time view popup.

Location of Incident
Team associated with your concern if known

Include the organization and level of play
Circumstance of Concern / Complaint^*

Please as specific as you can. The more details you provide, the better someone will be able to investigate the alleged occurrence.

Human Validation

Check The Box ^*