CENTRAL U.P. YOUTH FOOTBALL LEAGUE INJURY REPORTING
This form is to be used to report all injuries from either a game or practice.
Email address *
Date of Injury? *
MM
/
DD
/
YYYY
Player's Name? *
Your answer
What Area is the player from? *
What Division is this player in *
Did this injury occur during practice or a game? *
Weight of injured player as compared to others in the age group? *
Type of Injury? *
Type of Play During Injury? *
Position Played at Time of Injury? *
Principle Body Part Injured? *
Primary Care of Injury? *
Describe How this Injury Happened? *
Your answer
Person Filing this Report *
Your answer
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