Complaints

Please use this form to submit a formal complaint. To provide feedback please email feedback@ymcasouth.org.nz.

Y Southland Complaints Form

Please use this form if you wish to make a formal complaint. If you are wanting to provide feedback, please email feedback@ymcasouth.org.nz.

Name(Required)

First Last

Phone(Required)

Email(Required)

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

If you are making a complaint for someone else, please complete this section wiht thier details.

Name of person you are completing this complaint form on behalf of (the complainant)

Contact details of the complainant

Details of the complainant's involvement with the Y Southland

Details of complaint

Date of incident

Location of incident

Please list any important details, such as witnesses and their contact details (if applicable)

Please list any action/s taken so far (if any) to resolve the matter