Report an Injury (Niagara North Stars)
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Report an Injury
Injury Information
Please complete the information requested in this section
First Name of Individual
*
Last Name of Individual
*
Date Of Injury
*
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RadDatePicker
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Calendar
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Title and navigation
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July, 2018
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July, 2018
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Team
*
Select One...
Novice
Minor Atom
Atom
Minor Peewee
Peewee
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Location of Injury
*
Home Team or Arena where penalty ocurred
Indicate Position On the Team
*
Player
Head Coach
Assistant Coach
Trainer
Manager
Parent
Injury Report
*
Please give detailed description of injury situation, game siutation leading up to injury, the injury itself and course of immediate action taken and immediate resolution
Submitted by:
*
name
Human Validation
Check The Box
*
Human Validation Failed, Please Try Again
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Printed from niagaranorthstars.ca on Friday, July 20, 2018 at 12:08 PM
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