Injury Report Submission (Windsor Minor Hockey Association)

Injury Report Submission

Use this form to submit all player or volunteer injury reports to the association Head Trainer. Forms should be obtained from the "Injury Reporting Documents" section of Trainer's Corner

Team Information

Team^*

Required

Choose your team from the list

Trainer's Name^*

Required

Submitted by:^*

Required

Manager/Trainer/Coach

Player/Volunteer Information

Player/Volunteer Name^*

Required

Player/Volunteer Position^*

Required

Ex: Player, Coach, Trainer, On-Ice Helper

Did the injury occur at Hockey?^*

YesNo

Required

Notes

Attach any pertinent notes here

Notes

Attachments

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

Hockey Canada Injury Report

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

Upload the filled Injury Report (Please use on-line form if possible)

Return to Play Form

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

Upload the filled Return to Play form if applicable

Other

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

Any other pertinent information such as a Doctor's Note

By submitting this from you agree to have the included information shared with Hockey Canada for insurance reasons

I agree to the terms and conditions stated above^*

Injury Report Submission (Windsor Minor Hockey Association)

OMHA Digital Network

Team Information

Player/Volunteer Information

Notes

Attachments

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