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UKU Online Incident Report Form - Details of the incident
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* Indicates required question
Event
*
Your answer
Venue
*
Your answer
Date
*
MM
/
DD
/
YYYY
Approx Time
*
Time
:
AM
PM
Collision
*
Yes
No
If yes with who/what
(another player, wall, goalpost etc)
Your answer
Circumstances + Details of incident
*
Please include info of what happened in the actual incident and the nature of the injury sustained from it
Your answer
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