Cayuga Youth Athletic Association Of Niagara Falls, NY

2023 Accident / Incident / General Complaint Form

Cayuga Youth Athletic Association, INC.

Incident/Accident/General Complaint form

We will keep your identity private. You may be contacted for a private interview depending on the nature of the circumstance. We take every entry seriously and want everyone to enjoy your experience at Cayuga. Play Ball!

Accident

Incident

General Complaint

Person Involved:

Address:

Phone Number:

Age:

Person writing the report:

Address:

Phone Number:

* Date of the incident:

Location:

Why was the person at the activity:

Witness' and Phone Number:

* Please describe in detail what occurred::

* indicates required fields

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2023 Accident / Incident / General Complaint Form