Incident Report (St. Catharines CYO Hurricanes)

Print Incident Report

This form is to be used by all teams to report any incidents worthy of note that occur during or after any league function. Please fill out this form after 24 hours. The form will automatically be forwarded to the Director of Conduct and Risk Management, with a copy going to the submitter.

Incident Information

Please fill out all applicable fields with as much detail as possible.

Date & Time of Incident^*

Open the calendar popup.

Open the time view popup.

Location / Arena^*
Division^*
Minor Atom
Atom
Minor Peewee
Peewee
Minor Bantam
Bantam
Minor Midget
Midget
Opposing Team (if applicable)
Submitted by^*
What is your affiliation to the team?^*
Identify who was involved in the incident by name if possible (e.g. player, referee, parent, coach, etc)^*
Description of the Incident^*
Your Email Address^*

This is the email address where a copy of the report will be sent.
Secondary Email

If you wish to send a copy of this report to another person.