2020 Concussion Report
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Team Name *
Date of Incident *
MM
/
DD
Player's Name *
First and Last
Player's age
Describe how player received the concussion: *
collision,stick to head, ball to head, fall, etc.
Did this injury occur as the result of a yellow or red card? *
Date of medical release by doctor *
MM
/
DD
Other:
Anything else we should know.
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