Histon Hornets FC
Organisation ID 71605

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Injury Form

Incident / Accident Reporting From

Your Name

Hornets Team

Site where accident took place

Name of person in charge of session / competition

Name of injured person

Date of incident

Time of incident

Nature of accident / incident

Give details of how and precisely where the accident took place

Were any of the following contacted?

Police

Ambulance

Parent /Guardian

What happened to the injured person after the accident? (eg. went home, went to hospital, carried on with session)

Thank you for taking the time to submit the injury report, it has now been sent to the Histon Hornets Welfare Team who will keep it in their records.

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Organisation ID 71605 - All Rights Reserved Histon Hornets Football Club.

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