BYA Grievance Report Form

BYA Grievance Report Form

Please understand that the BYA treats each and every grievance filed very seriously.  The BYA reserves the right to turn the matter over to local law enforcement if we feel a law is being broken.  This grievance that you file will be turned over to the police to be entered into the report being filed and that you may be called to testify in a lawful matter if requested by the courts.

 

You may email any additional information i.e. Police report, videos, photos, text messages, emails etc... that you feel are important to your case.

Send to: info@bya.org

Sport
select
Date of Incident
RadDatePicker
RadDatePicker
Open the calendar popup.
Time of Incident
Example: 7:00PM
Field/Gym Location
Incident Description
Complete description of the incident including witness
Your First Name
Your Last Name
Your Email
ex: myname@example.com
Phone Number
Ex: 555-555-5555
Confirmation
I attest that all the information that I am submitting is true and accurate and I will be willing to swear under oath if requested.
Verification
 

Required Fields