Incident Report Form

Please email the below information to  GeorgiesCup@georgecrossfc.com  to report an incident or issue.

1. Your Contact Information

• Your Name: 
• Team Role: 
• Email Address: 
• Phone Number: 

2. Your Team's Information

• Club Name: 
• Team Name: 
• Age Group: 

3. Incident Details

• Approximate Incident Time: 
• Location (Field Number):  [
• Opposition Team: 
• Date of Incident: 

4. Please describe the incident or details of your complaint.

Please provide as much detail as possible:

5. Would you like to be contacted with the outcome of the investigation?

• Yes
• No