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Injury Report

Player Injury Reporting

This site is for youth hockey injury reports only.  Submissions that do not have a contact name and phone number will be deleted.

Instructions:
1) Complete on-line form
2) Print a copy for your records

Definition of “Injury”:
For the purposes of this form, “injury” is defined as: any head injury of suspected fracture occurrence that requires missing a game or practice or brings the player to medical attention. Please report all events that might qualify as significant

The coach or team contact is required to verify the injury reported.

Complete and Submit

 

Mark Elliott

District Director

Scott Riopelle

Assistant District Director