Report Player Injury


Please fill out the following injury report when a player has been injured at an ORA, NCRRL or West Ottawa event. NOTE that this report does NOT replace the official ORA injury report, which must also be completed. The ORA report must be completed within 48 hours of the incident and is available on the WORA website. Completion of the report should be coordinated through the team's bench staff.

Player First Name:

Player Last Name:

Relationship to Player:

Team:

Date:

Time:

Event:

Activity:

Brief Description of Injury/Incident: