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Incident Report
Use this form to report an incident that occured at camp. Incidents are typically negative events that happen between two or more campers, a coach and a camper, a safety concern or water rescue, etc..
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* Indicates required question
Camper Name
*
Your answer
Name(s) of other Camper(s) Involved
Your answer
Date of Incident
*
MM
/
DD
/
YYYY
Time of Incident
*
Time
:
AM
PM
Camp Location
*
Choose
Manhattan Beach
Hermosa Beach
Redondo Beach
Camp Type
*
Choose
Beach Camp
Surf Camp
Volleyball Camp
Jr. Lifeguard Camp
Skate Camp
Person who observed the incident
*
Your answer
Describe the incident
*
Your answer
Describe the action taken by Coach(es)
*
Your answer
Comments of those involved
*
Your answer
Name of person completing this form
*
Your answer
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