Aledo Soccer Club

Parent Incident & Concern Report

Thank you for helping us maintain a safe, positive, and fair environment. Please stick to facts only. Our staff will review within 72 hours.

Privacy Respected Safety First Factual Reports

Parent/Guardian Name *

Email *

Phone *

Player Name *

Player Birth Year *

Team Name (if known)

Date of Incident *

Time of Incident *

Location

Program/Event *

Who was involved? *

If unknown, write “unknown.”

Description of Concern / Incident *

Was anyone injured? *

If yes, describe injury & care provided

Did you speak with anyone at the time?

Have you reported this to anyone else?

Requested Outcome *

Evidence (description only)

I confirm this report is factual to the best of my knowledge and understand the club will review and respond appropriately.

We do not discuss disciplinary actions taken toward other children or families.

Cancel Reviewed within 72 hours. Safety issues are escalated immediately.