Player Injury Report
This form is for Issaquah Youth Football coaches to report injuries that required removing a player from a practice or game.
Email address *
Form Submitted By:
Your answer
Player Name:
Your answer
Football Team:
Date of Injury:
MM
/
DD
/
YYYY
Time of Injury:
Time
:
Location Where Injury Occurred:
Your answer
Describe How the Injury Happened:
Your answer
Describe the Injury and Any Symptoms Witnessed:
Your answer
Explain Actions Taken and Next Steps for Player/Parent:
Your answer
A copy of your responses will be emailed to the address you provided.
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