General Report of Concern (Western Counties Baseball)

General Report of Concern

Use this form if you are a coach, parent or concerned person and would like to report a concern about a game, umpire or otherwise activity with the WCBA boundary.

Your First Name^*

Required

Your Last Name^*

Required

Your phone number

Example: ###-###-####

Your email address^*

Required

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

Date and Time of incident^*

Required

Location of Incident

Team associated with your concern if known

Include the organization and level of play

Circumstance of Concern / Complaint^*

Required

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

What was your role at the game?^*

Required

You can upload supporting documents or statements here.

Allowed extensions: .jpeg, .jpg, .png, gif, .pdf, .doc, .docx.
Maximum # Files: 2. Maximum File Size: 4MB.