Water Polo Canada Incident Reporting Form

The safety, privacy, and opportunity for all Water Polo Canada registrants to participate in an environment free of abuse, harassment, or discrimination is important to us.

This incident form is intended for use by individuals who wish to report an incident of unacceptable conduct or complaint against a Water Polo Canada member or registrant which is contrary to Water Polo Canada’s, or a member Provincial Sport Organization’s, Code of Conduct (it is not intended to address rules of competition). Please know that you may also contact Lise McLean, Water Polo Canada’s safe sport officer, directly or refer to any of the other Resources listed to assist you.

Once completed, this incident report should be submitted to the Safe Sport Officer by email who will review the report and recommend a course of action to the parties (e.g. mediation, collaboration, refer to WPC’s or PSO’s Executive Director for investigation or other recommended action, refer matter to the Police). Depending on the nature of the complaint, you may wish to consult with:

Your Club’s Board of Directors
Your Provincial Sport Organization
A lawyer or human resources professional
The Resources section

All information received by Water Polo Canada or the Safe Sport Officer will be considered confidential, subject to Water Polo Canada reporting obligations as outlined below.

As part of ensuring the safety of all registrants, Water Polo Canada or the Safe Sport Officer, is expected to report to the appropriate authority (which may include the police or Children’s Aid Societies) in the followings cases:

If your reporting advises that there is a risk of danger to yourself or another member or registrant.
If your reporting advises that someone has physically or sexually abused, you or is likely to do so.

Incident Reporting Form

Game Summary

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Water Polo Canada Incident Reporting Form