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2024 ACTAA ASC BIA/Protest Form
Please be as detailed as possible. Your responses are confidential to the degree that can be guaranteed depending on the complaint.
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Email
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Your email
Complainant Name:
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Your answer
Complainant Email:
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Your answer
Complainant Phone:
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Your answer
Primary Role:
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Coach
Assistant Coach
Judge (Note: Only a Coach of Record May File a Protest)
Student (Remember - Only a Coach of Record May File a Protest)
School Affiliation:
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Your answer
Your Contestant's Code or Name?
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Your answer
Your Contestant's Event:
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Your answer
Division/Round/Time Occurred:
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Your answer
Contestant Code or Name Against Whom Complaint Is Lodged (if a protest):
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Your answer
Nature of Challenge:
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Your answer
Rules Violated (Please list the appropriate tournament, ACTAA, or NSDA rule that has been potentially violated; if not applicable, please write N/A):
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Your answer
List any corroborating evidence and/or witnesses:
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Your answer
Did you witness the infraction?
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Yes
No
Not Applicable
What remedy do you seek?
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Your answer
Is there a parent, guardian, coach or other trusted adult you would like us to contact about the situation?
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Your answer
I certify that I have read and understood these instructions and the below accurately represents my experience. [Writing your name and date here functions as your electronic signature]:
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Your answer
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