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) *
    Agree *
    Email *
    Signed *
    Signed date *