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Incident report
Use this form for injuries, safety concerns, or conduct issues at any MASHA game or scrimmage. In an emergency, call 911 first.
Your name
*
Email
*
Phone
Role
Player
Goalie
Official / volunteer
Spectator
Date and time of incident
*
Location
*
People involved
Names and teams, if known.
Witnesses
What happened?
*
Describe the incident in as much detail as you can.
Was anyone injured?
no
yes
unsure
Action taken at the time
It’s OK for a league officer to contact me about this report.
Submit report