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SERIOUS PROBLEM REPORT
*(Required Field)      
*Reported by *Email
       
*Date of Incident

 
(MM/DD/YYYY)

Time
       
Field *Regarding
       
*Summarize the Problem :   
*Details:      
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This serious problem report form is for use by the entire JLYSL soccer community - parents, coaches, referees, players. The purpose is to enable you to let us know of incidents or conditions in serious need of remedy so that they may be addressed by the appropriate people in a timely fashion.If you see something at a game that you think is seriously out of line, please report it here. Your comments will be channeled through the JLYSL Discipline Committee Chairman, JLYSL Administrator, and JLYSL President.Your name will be kept confidential if you request it.

Your information will be relayed to the appropriate person(s) for action and you will receive a response about the status or resolution of the matter. Examples of issues we would like to hear about include improper behavior by coaches, referees, parents, or players, as well as seriously unsafe field conditions.

Please include as many specifics as possible, including:

1. Date, Time and Field Location
2. Teams involved
3. Names of parties involved to the extent you know them
4. Brief description of what you believe is in serious need of attention.
5.Tell us what you think should be done to correct the problem.

We thank you for taking the time to help improve the soccer experience for our children.