Incident Reporting

Please describe the incident in detail.

IF THE REPORT IS AN EMERGENCY, PLEASE CONTACT YOUR LOCAL AUTHORITIES.

"*" indicates required fields

Age Group*

Level*

Home Team*

Game Date*

Boys or Girls?*

Boys

Girls

Away Team*

Incident Details*

Any additional documents as needed

Max. file size: 50 MB.

LISA will review all reported incidents. LISA reserves the right to escalate any reported incident to BC soccer and ITP sport when necessary.

Do you want this to be anonymous?

Yes

This form is protected by reCAPTCHA. Privacy | Terms

Phone

This field is for validation purposes and should be left unchanged.