Injury Report (St Catharines CYO Minor Hockey)


Injury Report
Please fill out all information. This form will be sent automatically to the Director of Risk, the President and the Secretary. It is imperative that any injury be documented in a timely fashion. Only when an injury is documented can we properly investigate and appropriately follow up.

I will also fill in the ALLIANCE INJURY REPORT FORM. This form is to be filled in by a physician and mailed to the address located at the bottom of the form.

Where did this happen?

Who was injured

Trainers Information

Identify the nature of the injury

What happened