DJP Complaint Form
DEWITT JUNIOR PANTHER FOOTBALL AND CHEER Complaint Form
The Dewitt Junior Panther Football and Cheer Program strives to provide the highest quality youth sports program for its participants. The program has created Coaches, Player, and Parent Code of Conduct expectations to establish minimum behavior and performance standards.
Please use the following process when filing a complaint:
1. Speak to the coach privately and in person. This step resolves most disagreements. 2. If you are not satisfied with the coach’s response or do not feel comfortable speaking with the coach, please submit this form to the DJP Board for review. Complaints will not be acted on unless a written statement of the complaint is provided. DJP may contact you for additional information and/or attendance at a meeting. Preferred receipt is via email sent directly to the DJP President and/or Vice President (email provided on DJP website)
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Contact Information for Person Submitting Complaint: Reporting Party Name:___________________________
Phone Number:___________________________________
Email Address:____________________________________________________________________________________
Division: Football: Cheer:
4th ____
3rd/4th____
Complaint against:
5th____
5th____
6th____
6th____
Coach____
7th____
7th____
Player____
8th____
8th____
Parent____
Board Member____
Other____
Date/Time of Incident:_________________________________________________________ Location:____________________________________________________________________
Parties Involved:______________________________________________________________ Summary of Complaint – attach any additional papers as necessary
________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________
Were there any witnesses to the incident? ______ Yes _______ No Name of Witness:_____________________ Name of Witness:_____________________ Name of Witness:_____________________
Phone Number:_____________________ Phone Number:_____________________ Phone Number:_____________________
Do you feel any Coach, Player, or Parent Code of Conduct rules were violated with this incident? Yes_____ No_____ If yes, what code was in violation, by who, and how?
____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ Did you contact your child’s coach or a member of the DJP Board to report this incident prior to filling out this report? _____ Yes _____ No If yes, who did you contact and how was your complaint handled?
____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ Proposed Solution:
Please remember if you have a complaint, you must be part of the solution. Please include at least one proposed solution to the complaint and your role in the resolution.
____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ Please sign and date the complaint form and submit it to the NSYFCA Parent Liaison and/or President with any necessary attachments. ______________________________
Print Name
_____________________________
Signature
________________________
Date
The Dewitt Junior Panther Football and Cheer Program strives to provide the highest quality youth sports program for its participants. The program has created Coaches, Player, and Parent Code of Conduct expectations to establish minimum behavior and performance standards.
Please use the following process when filing a complaint:
1. Speak to the coach privately and in person. This step resolves most disagreements. 2. If you are not satisfied with the coach’s response or do not feel comfortable speaking with the coach, please submit this form to the DJP Board for review. Complaints will not be acted on unless a written statement of the complaint is provided. DJP may contact you for additional information and/or attendance at a meeting. Preferred receipt is via email sent directly to the DJP President and/or Vice President (email provided on DJP website)
-------------------------------------------------------------------------------------------------------------------------------------------------------------
Contact Information for Person Submitting Complaint: Reporting Party Name:___________________________
Phone Number:___________________________________
Email Address:____________________________________________________________________________________
Division: Football: Cheer:
4th ____
3rd/4th____
Complaint against:
5th____
5th____
6th____
6th____
Coach____
7th____
7th____
Player____
8th____
8th____
Parent____
Board Member____
Other____
Date/Time of Incident:_________________________________________________________ Location:____________________________________________________________________
Parties Involved:______________________________________________________________ Summary of Complaint – attach any additional papers as necessary
________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________
Were there any witnesses to the incident? ______ Yes _______ No Name of Witness:_____________________ Name of Witness:_____________________ Name of Witness:_____________________
Phone Number:_____________________ Phone Number:_____________________ Phone Number:_____________________
Do you feel any Coach, Player, or Parent Code of Conduct rules were violated with this incident? Yes_____ No_____ If yes, what code was in violation, by who, and how?
____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ Did you contact your child’s coach or a member of the DJP Board to report this incident prior to filling out this report? _____ Yes _____ No If yes, who did you contact and how was your complaint handled?
____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ Proposed Solution:
Please remember if you have a complaint, you must be part of the solution. Please include at least one proposed solution to the complaint and your role in the resolution.
____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ Please sign and date the complaint form and submit it to the NSYFCA Parent Liaison and/or President with any necessary attachments. ______________________________
Print Name
_____________________________
Signature
________________________
Date
