Community Sports League Injury Report
Team Name
Date of Incident
Time of Incident
Venue/Location
Sport/Event
Injured Person Name
Age
Gender
Male
Female
Other
Description of Injury
How did the injury occur?
First Aid Given?
Yes
No
If yes, specify treatment
Was emergency service called?
Yes
No
If yes, which service?
Witnesses (Name & Contact)
Report Filed By (Name)
Date Filed
Additional Comments