Request edit access
Logan Basketball Complaint and Child Protection Reporting Form
The form is only to be completed if your complaint or child safety concern relates to matters that occurred at Logan Basketball related to Competitions , Programs and Incidents at the Cornubia Park Sports Centre. Complaints that relate to Basketball Queensland competitions or personnel under the auspices of a state championships or BQ program must be referred to the governing body.


No action will be taken if this form is lodged anonymously.
Sign in to Google to save your progress. Learn more
Email *
Name *
Contact phone number *
What does your complaint relate to?
Clear selection
Briefly describe what occurred?
When did this occur?
MM
/
DD
/
YYYY
Where did this occur?
What time did this occur?
Have you referred this matter to anyone else?
Clear selection
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report