Community Ed Reports

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This form is to be used to report accidents requiring first aid, customer service incidents with participants, parents, instructors, etc., and facility reports documenting unacceptable space conditions upon arrival or to report damage that occurred during a rental or Community Ed program or event.

Email *

Name of reporter *

Reporter email *

Building Location *

Pike Lake

Snail Lake

Bel Air

Island Lake

Pinewood

Sunnyside

Turtle Lake

Valentine Hills

Edgewood Middle

Highview Middle

Chippewa Middle

Irondale High School

Mounds View High School

Other:

Date of Report *

YYYY

What type of report are you filing *

Accident Report - Was required to use supplies form first aid kit and/or administer first aid

Incident Report - Customer service issue with partcipant, parent, instructor, community member, etc.

Facilities Report - Used to report unacceptable space conditions upon arrival or report damage/building issue that occured during or after a Community Ed program event or rental that occured

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