GRBA Injury Report

GLEN ROCK BASEBALL ASSOCIATION
INJURY REPORT

Today’s Date:

Date and time injury sustained:

Place (Field) where injury occurred:

Check one    League:

Boys  Girls  

Team:

Manager/Coach reporting injury:

Name of person injured:

Address:

Telephone number:

Type of injury (specify body area and injury):

Description of how injury occurred:

Please complete this Report and send by pushing the SEND button below within two (2) days of the date of injury.