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2016 - 2017 Club Sports Accident / Injury Report

Any accident or injury that occurs during or to/from practice or competition requires the completion of this form.
The Coach/Instructor directly must insure that the Associate Athletic Director is made aware of any and all injuries:
1. First by leaving a voice mail message at 508-831-6541 as soon as you can get to a phone.
2. Second by emailing or with a short factual description of what happened ASAP. Or you can text cell: 508-330-8652
3. Third by completing an Accident/Injury Report Form within 8 hours of an injury occurring at a club function, involving but not limited to: practice, contest, meetings, fund-raisers and travel.

This form closed on June 30, 2017 3:00 PM EDT