TYSA
Turlock
Youth
Soccer
Association
1769 Carnegie Suite B
PO Box 701
Turlock, CA 95381
(209) 668-4625
Fax (209) 668-2802
(Office is located between Golden State and Walmart Turn at the Blue Jacob Auto Sales sign)
Turlock Youth Soccer Association
Complaint Form
Mailing Address: P.O. Box 701, 1769 Carnegie Ave
Turlock, CA 95381
209-668-4625 / Fax 209-668 6802
http://www.turlockyouthsoccer.org/
r Coach r Player r Referee r Other_________________
Name of above ___________________________
Date of Incident:_______________ Time:____________ Field # ___
Complaint
(Please be brief and detailed)
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Complaint Made By: (Please Print)
Name:______________________________ Telephone: (___)____________
Signature_______________________________ Date:_______________
· Please turn into Referee Station
· You will be notified after a review.
· No action will be taken until review by Board/PAD Committee
Received by:
Name______________________________ Date: _________Time: ________****The matter will be taken care of in a timely manner****