Accident Report - Snakepit Wigan

    Name of person in charge of session/competition
    Site where accident took place
    Date of accident
    Name of injured person
    Address of injured person
    Nature of accident/injury and extent of injury
    Describe precisely how and where the incident took place. Include the activity that was taking place (e.g., training, game, getting changed).
    Details of first aid treatment and name(s) of first-aider(s).
    Were any of the following contacted?
    What happened to the injured person following the incident/accident? (e.g., continued with session, went home, went to hospital)
    Signed: