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Injury Report
Injured Person's Name
(Required)
Description of the Injury
(Required)
Team Name
(Required)
When did the incident occur?
(Required)
MM slash DD slash YYYY
Treatment Given
(Required)
Was a parent present?
(Required)
Yes
No
Was a parent notified of the injury?
(Required)
Yes
No
Was a trip to the hospital needed?
(Required)
