Palomar RC Flyers, Inc. Club Grievance Form
Date/Time
*
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Month
-
Day
Year
Date
1
2
3
4
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9
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:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Nature of violation
*
Your Name
Signature
Clear
Witness
Additional Witnesses (Not required)
Submit
Should be Empty:
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