EmailMe Form - (B.O.S.S.) Youth League Incident Report

In order to investigate any incident reported that occurred during the organizations events,
Best Of Student Shooters/Business of Success & Sports (B.O.S.S.) Youth League Fund Inc. will:

(1) Investigate the facts based on the report as fair as the evidence and description of the incident report describes and which can be proven.
(2) Request that you make sure that the one reporting the incident report provide a balanced and truthful account of what happened and not speculation.
(3) Share the evidence to others (Board, Staff, etc.) of concrete established evidence that has been investigated thoroughly to assist in determining what happened and what should/could have happened.
(4) Only reach conclusions based only on factual evidence after establishing statements from need be parties.
(5) Determine the appropriate steps and action (warning, write up, suspension, dismissal from program, removal volunteer or of employment of coach, staff, volunteer, parent, participant) to take and report factual findings if deemed necessary to Board on whether to determine corrective actions, implement corrective actions or determine if not enough evidence of incident qualifies for a dismissal based on lack of solid or factual proof or substantiation.

Best Of Student Shooters / Business of Success & Sports (B.O.S.S.) Youth League Fund Inc. reserves the right to dismiss, allow, consider or remove any participant, team, parent, coach, staff, volunteer etc. from it's program or events at any time during the duration of the program.

Reported By *

First Last

Date of Report *

MM / DD / YYYY

What is your title (identity)? (if applicable) *

Date of Incident *

Email *

Phone *

### - ### - ####

Damages/Specific Injuries or incident *

Specific Area Incident Occurred (if applicable) *

Who did you report the incident to? Reporting Staff/Volunteer/Employee Name etc. *

First Last

What is the location where the incident occurred? *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Describe the following about the incident *

Incident Description: (Describe everything IN YOUR OWN WORDS EVERYTHING YOU REMEMBER THAT HAPPENED, including any events leading to or immediately following the incident):
OTHERS: Employee/Staff/Parent/Participant/Volunteer Explanation of Events:
PARTIES INVOLVED: Name/Nicknames/ Role/Contact of Parties Involved /Phone Numbers:
WITNESSES: Name/Role/Contact of WITNESSES / Phone Numbers/ (WITNESS STATEMENT):

Alternate Phone

### - ### - ####

Name (If none write none/none) *

First Last

Signature *

Clear

Name *

First Last

Witness Signature *

Clear

Was a police report filed or was it reported to authorities? *

Yes

No

There can be no return to the program events or activities until we have signed/ filled out and reached a mediation in cases of fights or specific altercations that disturb the peace. Do you understand this? *

Yes

No

What actions (if needed were taken) were taken?

Was there a needed follow up?

Yes

No

Terms *

A form will be sent but there is no required signature needed for the other party to sign. I agree to the Terms and this is my official statement of the incident. Please allow 7-14 business days for a member of our organization to determine the evidence or a plan of action and get back with you as soon as possible. Some delays may occur that are beyond our control.

In order to investigate any incident reported that occurred during the organizations events, Best Of Student Shooters/Business of Success & Sports (B.O.S.S.) Youth League Fund Inc. will:

In order to investigate any incident reported that occurred during the organizations events,
Best Of Student Shooters/Business of Success & Sports (B.O.S.S.) Youth League Fund Inc. will: