Injury Report Submission (Tecumseh-Shoreline Eagles)

Injury Report Submission

Complete the information and submit a copy of the injury report. The report will be forwarded to the appropriate individuals. Please retain a copy for your records.

Team Information

Team Name

Trainer Name

Submitted By

Manager/Trainer/Coach?

Player / Volunteer Information

Player / Volunteer Name

The injured individual

Injury Report and Attachments

Attach copies of the Hockey Canada injury report and any relevant documentation.

Injury Report

Allowed extensions: .jpeg, .jpg, .png, gif, .pdf, .doc, .docx, .xls, .xlsx, .ppt, .pptx.
Maximum # Files: 1. Maximum File Size: 4MB.

Attach Hockey Canada Injury Report

Other Attachments

Allowed extensions: .jpeg, .jpg, .png, gif, .pdf, .doc, .docx, .xls, .xlsx, .ppt, .pptx.
Maximum # Files: 1. Maximum File Size: 4MB.

Other Attachments

Allowed extensions: .jpeg, .jpg, .png, gif, .pdf, .doc, .docx, .xls, .xlsx, .ppt, .pptx.
Maximum # Files: 1. Maximum File Size: 4MB.

Injury Report Submission (Tecumseh-Shoreline Eagles)

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Team Information

Player / Volunteer Information

Injury Report and Attachments

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