Injury report
Documentation of Football related injuries resulting in loss of game time
Player's last name *
Your answer
Player's first name *
Your answer
Parent phone number *
Your answer
Parent email address *
Your answer
Assigned team number *
Where did the injury occur?
What is the nature of the injury? *
Describe how the injury occurred *
Your answer
Describe the immediate treatment received *
Your answer
Did the player see a doctor? *
Result of the injury *
Has this same injury happened before? *
Other comments
Your answer
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