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CLUB SPORTS

 

Club Sports Accident Report Form:

Date of Accident:

Time of Accident:

Where did the accident take place?:

Provide a description how the accident occurred:

What type of first aid was administered?:

Name of person completing form:

Email address of person completing form:

Cell phone of person completing form:

 

CONTACT

Darnell L. Pierce
Club Sports Manager
Phone: (315) 781-3869
E-Mail: clubsports@hws.edu