Player Injury Report

Please fill out the form below to submit details related to an injury to a player at an OPAA sanctioned event.

This form will be sent directly to the Vice President of the OPAA Board of Directors.

Injured Person
Date of Injury
RadDatePicker
RadDatePicker
Open the calendar popup.
League/Division
select
Location
select
Team Name
Type of Injury
Was first aid required?
select
If yes, what first aid?
Was professional medical treatment required?
select
(If yes, the player must present a non-restrictive medical release prior to to being allowed in a game or practice.)
If yes, what treatment?
Description of Incident
Your Name
Your Email
Your Phone Number
Verification

Required Fields