F.S.H.P.A.

GRIEVANCE FORM

The Florida State Horseshoe Pitchers Association wants to ensure that all League and Tournament play is held in accordance with the Rules and By_laws of the FSHPA and the National Horseshoe Pitchers Association.

Should you have a concern or complaint please fill out the following form and submit to the FSHPA 2nd Vice President. This document will be reviewed and investigated by the Grievance Committee who will submit their findings and recommendations to the FSHPA Executive Council. This form will allow any sanctioned member to address a complaint of the rule violation.

NAME___________________________________________________NHPA#______________________

ADDRESS____________________________________________________________________________

E_MAIL______________________________________________PHONE__________________________

Please state from which rule book (FSHPA or NHPA) the violation occurred. .

________________________Rule or Article #________________________________________________

Date of violation__________________________________________

Where did this violation occur?____________________________________________________________

Who did you notify at that facility?_________________________________________________________

Was the situation handled by the event organizer? YES__________________NO___________________

(If you cannot state a rule violation, please state your concern or objection.)

Please describe in your own words the percieved violation______________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

Signature___________________________________________

Date_________/_________/___________

Rev November 10, 2012