Pickleball Canada Organization

First and Last Name of Person completing this Form *

Your Email address: Opt in to emails

Your Phone number: - International Number

Date and time of the incident:

Location of the incident:

Name(s) of the member(s) involved who may have violated the Code of Conduct:

Name(s) of the member(s) who were affected by the violation:

Description of the incident:

Name(s) of any witness(es) (if any):

Steps taken to try to address incident (if any):

Photos or video evidence of the incident (if any):

Any other information that you would like to include:

File a Code of Conduct Complaint