Click here to download this form in Microsoft Word DOCX format
Download and use this form to document any incidents occurring at your assigned gyms in conjunction with documentation included on the scoresheets.
-PREVIEW OF FORM-
CBO Incident/Medical Report
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Division |
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Gym Monitor |
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Date |
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Gym Location |
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Date of Incident |
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Teams Involved |
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Player(s) and Uniform Number |
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Description of the Incident or Major Medical Injury |
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Applicable CBO Rules and Regulations
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Resolution |
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Names and Contact Information for Individuals Involved/Interviewed |
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Name |
Contact Information |
Relationship (player, coach, parent, spectator, facilities director, etc.) |
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