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OFFICIAL HOME OF THE
WANGARATTA RANGERS
CONFIDENTAL REPORTING
Confidential Reporting
What is your complaint about?
(Required)
Bullying or Harassment Complaint
Child Safe Concern
Complainant Name: (leave blank if annonymous)
Date of Complaint
(Required)
Day
Month
Month
Year
Person’s reason for complaint/concern (harassing or bullying behaviour- include as much detail as possible including dates, words used, context of the behaviour)
(Required)
Location of alleged incident(s):
(Required)
Full Name of Person Complained About:
(Required)
Role/Status
Player
Coach/Assistant Coach
Umpire/Official
Parent
Spectator
Other
Alleged Breach(es) of Policy or Code of Conduct:
(Required)
Witness Name & Contact Details:
Consent to provide witness details to others?:
Yes
No
Submit Complaint
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