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Injury and Incident Form

INSTRUCTIONS: This form is to be completed by the Head Coach for any injury that requires referral to a physician or hospital or
immediate medical treatment. This form must be completed and turned into the BYF Director of Safety (or Pres/VP) within forty eight (48) hours from the time of injury.

Identification
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Event Details
12:21 PM
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Injury Location
Injury Side
Injury Type
Treatment
Description

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