Incident Report

This form will go directly to your parish/school athletic director (AD).
The AD will review your submission and determine whether or not action or response from CYO Athletics is necessary. Unless requiring action at a given facility, incident reports regarding injuries will be utilized by the individual parish/school and will not be forwarded on to CYO Athletics.
Your AD will forward to CYO Athletics if warranted, as per policy.
If you are submitting an Incident Report regarding your parish/school AD or you are the AD, please select CYO Athletics as the recipient to send directly to CYO Athletics.


About You
* Name:	* Email:		* Phone:
* Address:	* City:		* Zip:
* Parish:
Witnesses
Witness:	Email:		Phone:
Witness 2:	Email 2:		Phone 2:
About the Incident
* Location:	* Date:		* Time:
* Grade Level:	* Gender:		* Division:
* Describe the Incident:
* Any Apparent Injuries - (Either 'None' or Description):
* Actions Taken:
Persons Notified:		When:
* Identify Youself as a Coach, Athletic Coordinator, Parent, Official or Other:
Fields marked with an asterisk are required*

Sex Abuse and Misconduct Hotline: 1 800 446-7762

About You