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.

( ) -
Status of Person Involved:
(check all that apply)
Please describe the injury.
( ) -
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.
( ) -
( ) -
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?:
Panoramic View of campus