Club Sports Injury and Incident Report | RecSports

If you have an injury or incident while competing or practicing with your club please fill this out. Please complete the entire form with as much detail as possible.

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Status of Person Involved:

(check all that apply)
Please describe the injury.
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Please describe as precisely as possible the location where the event occurred.
Was the activity University-sponsored?:

Include sequence of events, extent of damage, nature of illness or injuries, device or machine used, activity involved, etc.
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Was Public Safety notified?:

Was first aid given?:

Did the person injured refuse further treatment?:

Was an ambulance called?:

Did the person injured go to a hospital or clinic off-site?:

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