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Kali/JKD Level 3 & Up
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HOME
Testimonials
PROGRAMS
SCHEDULE
ADULTS
Personalized Martial Arts System
Get Started
STUDENT PORTAL
My Account
Reading Material
Curriculum
>
Eligibility/How it Works
Solo Training
Entry Level / Basics
Kali/JKD levels 1 & 2
Kali/JKD Level 3 & Up
BJJ
Muay Thai Levels 1 & 2
SIMA Store
Student Grievance Form
This form is for students to document and report incidents that violate our school policies or otherwise endanger the safety or well-being of our students and staff.
Students must report incidents immediately to a SIMA staff person
or
complete this form within 24 hours of the occurrence.
We review incident reports within 1-2 business days.
Students may report incidents anonymously.
If this is an urgent situation, please contact Guro Bob immediately or notify Anthony or Makis.
Click
HERE
to see our Student Policies & Expectations.
Thank you,
Team SIMA
Student Name
*
First
Last
[object Object]
Student Email Address
*
Student Cell Number
*
*
Indicates required field
Person(s) involved in the incident.
*
Please list the names of all students, staff or people involved in the incident.
Date of Incident
*
Time of Incident
*
Location of Incident
*
Where in the dojo did this occur?
Write a detailed account of occurrence.
*
Include names of persons involved, if any. Be concise and specific in your description.
State school policies, procedures or guidelines that you feel have been violated.
*
Proposed solution to the grievance.
*
Did you make a verbal report to management staff: Guro Bob, Anthony or Makis? Please describe.
*
Submit
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