Parent Report Concerning a Player

This form is not collecting results at the moment. Parent Report Concerning a Player does not collect results after 2020-04-01.

Parent Report Concerning a Player

In order to better investigate your concern, please fill out this form as completely as possible. While some areas of the form are optional (and we respect your anonymity), in the event that we have additional questions in our investigation (as well as being able to follow up with your concern once the situation has been addressed), please consider filling out this form in its entirety.

Thank you for your submission. This form will be submitted confidentially to our SAYHA Disciplinary Director, Jeremi Delcampo, SAYHA SafeSport Director, Kelli Jones and Director of Hockey Operations, Neil Runbeck (except where mandatory reporting is required below). In their discretion, the information may be provided confidentially to our Disciplinary Investigators and/or Division Coaching Directors.

Please note: Pursuant to the SafeSport Authorization Act, any adult that is authorized by USA Hockey, a member of USA Hockey, or any Member Program, to interact with a Minor or amateur athlete at a Facility or at any event sanctioned USA Hockey or a Member Program, is considered a mandatory reporter and if any such person learns of facts that give reason to suspect that a child has suffered an incident of Child Abuse, including sexual abuse, he/she shall as soon as possible make a report of the suspected abuse to the USCSS and to applicable law enforcement authorities.

Any report of misconduct or suspicion of child physical or sexual abuse received by USA Hockey will be taken seriously and handled appropriately. If USA Hockey receives a report of physical or sexual misconduct involving a minor, USA Hockey will make a report to the proper authorities
or cancel