Injury Report
An incident that causes any player, manager, coach, umpire, or volunteer to receive medical treatment or first aid must be reported to the league[s Safety Officer within 24 hours. This includes passive treatments such as the evaluation and diagnosis of the extent of the injury, periods of rest, and near misses.

When an accident occurs, obtain as much information as possible.  Our league's Safety Officer will follow up with the injured party.  
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Email *
Your Name
Email Address
Name of Injured Party
Telephone Number of Injured Party
Relation to Injured Party
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Date of Incident
MM
/
DD
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YYYY
Ongoing Activity at Time of Incident
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Description of Incident - please be detailed. Include location, a description of how the incident occurred, and any notes on how the injury could have been avoided.
Treatment provided at time of incident
Did the injured party leave via ambulance, or otherwise (ie; parent's vehicle), to obtain Emergency Services?
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Did the injured party later receive Emergency Services?
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What Emergency Services were obtained?
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A copy of your responses will be emailed to the address you provided.
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