Office Phone

250 992 2119
Email: qdmha@shaw.ca

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Hours

Mon, Wed, Thurs: 9 am–1 pm
Tues – 4 pm–8 pm
Closed all Stat Holidays

Incident Report

This report should be submitted within 48 hours of the incident. All information will remain confidential.

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Incident Details

Individuals Involved

Include time of game • teams involved • factors involved in the incident
Your Name
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