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D.A.B.A. Injury Report Form
Injury should be reported using the iPad ASAP. Match Manager should submit supporting form.
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* Indicates required question
Name
*
Your answer
Team
*
Your answer
Grade
*
Choose
A-Men
A-Women
B-Men
B-Women
C-Men
C-Women
Game time
*
Time
:
AM
PM
Team playing against
*
Your answer
Time of injury
Time
:
AM
PM
Umpires names
Your answer
Details of injury
*
Your answer
Action Taken: (Eg: Iced, taken to doctor or hospital? Ambulance called?)
Your answer
Match Manager made aware or injury?
*
Yes
No
Match Managers Name
*
Your answer
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