Referee Misconduct Report
Today's Date
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YYYY
Time
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Date of Alleged Misconduct
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YYYY
Time
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Your First Name
Your answer
Your Last Name
Your answer
Your E-mail
Your answer
Your Phone Number (xxx-xxx-xxxx)
Your answer
Name of referee involved in alleged misconduct
Your answer
What is your affiliation with Ohio Water Polo?
Required
If you selected "other" above, please explain.
Your answer
If you are a coach, assistant coach, team official, player or player's parent, with which team are you affiliated (e.g. Hillside High School, Girl's Varsity)
Your answer
In the text box below, please describe completely the physical conditions under which the alleged violation occurred. For example, when and where was the game played, which teams were playing, time and/or period of the incident, etc.
Your answer
In the text box below, please describe completely the nature of the referee's alleged misconduct (violation of the Code of Conduct).
Your answer
In the text box below, please provide any additional information that might be useful to OWPRA in resolving this allegation. This might include, but not be limited to, the names of any witnesses or participants (with contact information) who might be able to provide information regarding the incident.)
Your answer
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