LEBANON WARRIOR YOUTH FOOTBALL LEAGUE ... AWS

LEBANON WARRIOR YOUTH FOOTBALL LEAGUE Investigation Request Form: Possible Code of Ethics Violation In order to better serve the youth of the Lebanon Warrior Youth Football League, the LWYFL has made this form available as an official notification for any incident that may be deemed as inappropriate concerning coaches, players and spectators due to a breakdown in sportsmanship or due to rules violations. All Investigation requests must be signed and dated to be considered valid. Anonymous requests are not be investigated. All valid requests are forwarded to the Disciplinary Committee for investigation. Once an investigation is complete, the findings are presented to the full LWYFL Board of Directors for review, discussion, and determination. 1. Please print- Fill in all lines Event Date: _________________________ Grade __________________Team Color________ Name of Person Filing Request: _______________________________Daytime Phone_________________ Address: _______________________________________________________________________________ City: _______________________________________________ State:_____________ Zip:______________ 2. Name(s) of reported persons

Coach

Player Official

Spectator

Team

Other

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3. Please provide details explaining the events that resulted in this report. If you need more space, please attach a separate sheet. _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________

_______________________________________________________________________________________ Date Filed: ___________ Signature of Person Filing Request______________________________________

PLEASE MAIL TO LWYFL- P.O. BOX 1114- LEBANON, OH 45036 For Official Use Only DATE RECEIVED: ________ ACTION TAKEN___________________________________________________________