C & F HC Incident/Accident Reporting Form

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C & F HC Incident/Accident Reporting Form

This form should be used to record any incidents or accidents that occur during training or at any matches or tournaments that involve players under 18 years of age.

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* Indicates required question

Email address *

Your answer

Your name *

Your answer

Your role *

Your answer

Your contact details *

Your answer

Young person's name and age *

Your answer

Team *

Your answer

Date of Incident *

MM

/

DD

/

YYYY

Time and Details of the Incident *

Your answer

Parent/carer contact details *

Your answer

Have their parents/carers been informed? *

Yes

No

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