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Home | Youth & Young Adult | Incident Report

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: 


Witness:  Email: 
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:
* Identify Youself as a Coach, Athletic Coordinator, Parent, Official or Other:
Fields marked with an asterisk * are required       
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