incident report

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YYSL is committed to providing a positive and safe environment for players and families. If you witnessed an incident or injury at a practice or game (before, after, or during the event), complete this form so that League personnel can follow up and make any necessary adjustments within the organization.

You may submit a report anonymously by omitting identifying information. However, anonymity may limit the League's ability to investigate and/or respond to the information provided.

First name This is required

Last name This is required

Email Enter an email Use an address with (@) and (.)

Select the role that best describes you when the incident occurred.

Parent/Guardian of a player

Player

Coach

Board Member

This is required

When did the incident occur This is required rt.advancedFormInput.date.formatMessage

Did the incident occur during a practice or game?

Practice

Game

This is required

Did the incident include an injury?

Yes

Unsure

This is required

Did the incident include physical contact or violence?

Yes

Unsure

This is required

Describe the incident. This is required

Involved Parties/Eyewitnesses This is required

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