Non-Participant Accident Report
(Cheerleading Practice)
Date of Report
Time of Report
Name of Reporter
Role/Relationship to Team
Location of Incident
Date of Incident
Time of Incident
Name of Injured Person
Age
Contact Information
Description of Accident
Injury Description
Witnesses (Names & Contact Information)
Immediate Action Taken
Further Follow-Up or Notes
Report Completed By
Signature
Date