Injury Report Form Injury Report Submitter Details Date * Your Name * Email * Player Details Location SelectTerrigalNiagara ParkLake HavenBateau BayOther Player Name * Team * Injury Details Injury Type SelectAnkleOther lower bodyArmOther upper bodyHead / ConcussionIllnessOther Describe what happened * Outcome Participation Outcome * Continued Playing Unable to return Parent Notified * Yes No Red Flags Possible Concussion Medical Attention Required Other Notes Submit If you are human, leave this field blank.
