California Association of Youth Football & Cheer

California Association of Youth Football & Cheer

29 PALMSWARHAWKS

APPLE VALLEYSEMINOLES

DESERT HOT SPRIN..EAGLES

SNOWLINEDIAMONDBACKS

YUCCA VALLEYLOBOS

INJURY REPORT

Participant Name:

Date of Birth:

Gender:

Program:

Location Injury Occured:

Is this an injury to the HEAD and/or NECK?:

Injury Date:

Event Type?:
Game:
Practice:

Parent Name:

Parent Contact:

Injury Description & How did the injury occur?: