Submit incident report - Water Polo Queensland

Full name*

Contact number*

Complainant’s role/position within the Sport

Administrator (volunteer)

Parent

Spectator

Support Personnel

Official

Board/Committee member

Athlete/Player

Coach/Assistant Coach

Employee (paid)

Other

Are you a registered member of Water Polo Queensland?

yes

Name of person complained about (Respondent)

Level of the Sport at which alleged breach occurred?

NSO level where they relate to behaviour an incident or circumstances that occurred at or involve individuals operating at the NSO level

State Member level where they relate to behaviour an incident or circumstances that occurred at or involve individuals operating at the State Member level; or

Affiliate Member level - where it relates to behaviour an incident or circumstances that occurred at or involve individuals operating at the Affiliate Member level (Association/League/Club level)

Did anyone else witness this alleged breach by the Respondent?

yes

not sure

Does Complainant consent to alternative dispute resolution?

yes

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Incident details

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