CONCERN FORM — ANNAPOLIS JUNIOR ROWING

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ANNAPOLIS JUNIOR ROWING

FREEDOM TO ROW SCHOLARSHIP

IMPORTANT DOCUMENTS

REGISTRATION PAYMENT

ANNAPOLIS JUNIOR ROWING

FREEDOM TO ROW SCHOLARSHIP

IMPORTANT DOCUMENTS

REGISTRATION PAYMENT

FREEDOM TO ROW SCHOLARSHIP

IMPORTANT DOCUMENTS

Folder: CONTACT

REGISTRATION PAYMENT

Concern Form

Any concerns about AJR can be filed here. All concerns will be reviewed by AJR Board of directors within 48 hours. Concerns will be forwarded directly to AJR secretary to be reviewed by the board. Concerns can be filed anonymously, but cannot be directly responded to if filed anonymously.

Date of Incident *

MM

DD

YYYY

Time of Incident

Hour

Minute

Second

When did the incident occur? *

Did the incident/conduct involve an: *

Coach

Athlete

Parent

Board Member

Name of coach, athlete, parent, board member if known

Did the incident involve verbal abuse? *

Yes

No

Did the incident involve physical abuse? *

Yes

No

Did the incident involve social media? *

Yes

No

How many players witnessed the incident? *

Does your complaint involve a general rowing issue? *

Yes

No

Please provide a description of your concern, or of what occured *

Signed

First Name

Last Name

Date *

MM

DD

YYYY

Email

Phone

(###)

###

####

Thank you!

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Email Address

Thank you!

CONTACT

annapolisjuniorrowing1@gmail.com
(585) 590-1731

ANNAPOLIS

JUNIOR ROWING