Injury Report
Please complete this form for all serious injury, i.e. any head injury and any injury where the player left the game and did not return.
Items marked with an * are required.

INSTRUCTIONS
1. Include player's name, team, jersey number, a description of the injury(s) and the time the incident(s) occurred.
2. Give a brief, detailed and accurate description of the incident(s) using the player's name.
Email address *
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