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Referee Complaint Form

Please provide the information requested below:

First Name
Last Name
Street Address
City State
Zip
E-mail
Home Phone
Team Affiliation
Date of Complaint
Date of Game
Team Names
Age Division
Time
Score of Game
Home
Visitor
Officials Name(s)

Please state nature of complaint (in full):

Please Note: To be considered as a valid complaint and be acted upon by the referee-in-chief all blanks of this form must be completed accurately and in it's entirety. A partially completed form will not be reviewed.

Thank you for your interest in assuring fair competition and constructive criticism.


Saginaw Bay Ice Arena
6129 Bay Road
Saginaw, MI 48604
(989)799-8950 - Office
(989)799-2591 - Fax
David Westner - Rink Manager