Concussion Report (Blue Card) (2020)
Player's first name *
Your answer
Player's last name *
Your answer
Player's Union *
Your answer
Player's Number *
Your answer
Player's NZ Rugby number (if known)
Your answer
Playing Position * *
Player's Grade *
Your answer
Player's Team *
Your answer
Official's first name *
Your answer
Official's last name *
Your answer
Official's email *
Your answer
Official's Union *
Your answer
Venue *
Your answer
Date *
MM
/
DD
/
YYYY
Nature of the offense *
Give a short description of the law
Your answer
Period of the match when the concussion occurred *
Elapsed time in half
Your answer
Brief description of how injury occurred and why card was issued *
eg. knocked out/dazed/unable to answer questions
Your answer
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