Basketball Nova Scotia Incident Report
This form can be used for anyone who is looking to report an incident that has happened with a Basketball Nova Scotia club athlete, parent, spectator, official or anyone involved in Basketball Nova Scotia Sanctioned Event. Use this form to elaborate on the incident that has happened and the report will be flagged to the Executive Director of Basketball Nova Scotia, Lori Lancaster, for further response.

Please ensure you can clearly state which BNS policy has been broken, so we can ensure to follow up.

Thank you in advance for your diligence and ensuring that basketball is a safe place for all athletes.
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Email *
Name of Person Completing the form *
Contact Phone Number *
Relation to the victim of the incident *
Club and or Basketball Association the victim is a member of
Location of the Incident *
Date of the Incident *
MM
/
DD
/
YYYY
Time of the Incident *
Time
:
Please indicate the BNS policy the Incident would fall under *
Description of the Incident *
Please indicate any relevant witnesses
Were the police called? *If yes, please call 902.410.4929 immediately. *
Anything else to add
Submit
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